Modifier Coding Alert
Try Modifier AU for Tape Application
Question: A doctor applied non-waterproof tape (A4450) over the skin of one of her patients to secure an ostomy supply. Can we use a modifier to seek reimbursement for the tape supply?
Kansas Subscriber
Answer: You may use AU (Item furnished in conjunction with a urological, ostomy, or tracheostomy supply) with A4450 (Tape, non-waterproof, per 18 square inches) or A4452 (Tape, waterproof, per 18 square inches).
Keep in mind: While you can seek reimbursement for the tape supply in some cases, in this situation the ostomy supply has its own adhesive agent. Thus, you cannot seek separate reimbursement for the tape. If there is a defect with the adhesive of the ostomy supply, you will contact the distributor or the manufacturer for replacement supplies.
Here are four modifiers that CMS recommends you use with durable medical equipment (DME):
Modifier Coding Alert
- Modifier Guidance:
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Help Compile Data on PBDs by Using Modifier PO
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Try Modifier AU for Tape Application
Question: A doctor applied non-waterproof tape (A4450) over the skin of one of her patients [...] - Reader Question:
See What CMS Has to Say About Units of Service
Question: I recently coded knee injections for the right and left knee, both done with ultrasound [...] - Reader Question:
If You Count More Than 2 Plugs, Use E Modifiers
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KX Directs the Payers to the Medical Record for Justification
Question: My doctor has a patient with non-reversible symptomatic bradycardia and the doctor inserted a pacemaker. [...] - You Be the Coder:
Determine a Modifier for a Return Visit
Question: Our pediatrician treated a patient for reduction of subluxed radius (24640). Three days into the [...]
