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    Wiki HCPCS L1851 - M17.11 supports alone for a Medicare JC audit?

    Hello Nolan, I bill at a DME manufacturer and in our experience, yes, both dx's need to be met or the claim will be denied. The provider has to document joint laxity testing via what you listed above. I just posted a separate question regarding modifiers in this same code set. I would love your...
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    Wiki Medicare changes to Modifiers on L1852 and L1845?

    Does anyone know if Medicare has changed its modifier requirements for L1852 and L1845? We are a DME manufacturer and had a claim rejected for using the incorrect modifier. We had the correct laterality. Does anyone know if KX is always required as well? Thank you in advance! - Cindy
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