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If the patient received the re-evaluation at a later date and it was documented that the patient was benefiting from the use of the PAP device, the supplier may begin submitting claims with the KX modifier from the date of that re-evaluation. Claims for services in the interim between the 91 st day and the date of the re-evaluation must be submitted with the KX omitted.
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cignagovernmentservices.com
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What can a supplier do if the patient does not get in to see the treating physician within the 31 st-91 st day?
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