When is the KX modifier required for skin lesion removal codes?
Modifier KX should be appended on all benign skin lesion removal codes when there is supporting documentation on file identifying the reason for removal as non-cosmetic and medically necessary. Obviously, malignant diagnoses would not require the modifier, but Medicare will pay with or without it. What is the effective date of participation agreements? The effective date of a participation agreement is based on receipt. For existing participating providers who wish to become nonparticipating, the agreement is effective January 1. Will Medicare pay a conveyance fee (CPT 90000) for Pap smears collected in a physicians office and sent to the hospital to be read? CPT code 99000 is listed on the MFSD as bundled. This service is not billable to Medicare or the patient, as its considered to be included in the approved amount for the actual Pap smear performed by the lab. Therefore, no extra payment can be made to the provider obtaining and preparing the specimen for a diagnostic Pap smear. Wh
