ckleis
New
Hello. I am needing advice on what modifier that Medicare is requiring for HCPCS Code L3660, which is a Shoulder Orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf. There is no laterality of this device so RT or LT isn't appropriate. The following Modifier Crosslinks were found in Select Coder:
BPThe beneficiary has been informed of the purchase and rental options and has elected to purchase the item
BRThe beneficiary has been informed of the purchase and rental options and has elected to rent the item
GAWaiver of liability statement issued as required by payer policy, individual case
GKReasonable and necessary item/service associated with a ga or gz modifier
GYItem or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZItem or service expected to be denied as not reasonable and necessary
LLLease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
NRNew when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
Q0Investigational clinical service provided in a clinical research study that is in an approved clinical research study
Q1Routine clinical service provided in a clinical research study that is in an approved clinical research study
RAReplacement of a dme, orthotic or prosthetic item
RBReplacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
Thank you,
Carrie Kleis, CPC
BPThe beneficiary has been informed of the purchase and rental options and has elected to purchase the item
BRThe beneficiary has been informed of the purchase and rental options and has elected to rent the item
GAWaiver of liability statement issued as required by payer policy, individual case
GKReasonable and necessary item/service associated with a ga or gz modifier
GYItem or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZItem or service expected to be denied as not reasonable and necessary
LLLease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
NRNew when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
Q0Investigational clinical service provided in a clinical research study that is in an approved clinical research study
Q1Routine clinical service provided in a clinical research study that is in an approved clinical research study
RAReplacement of a dme, orthotic or prosthetic item
RBReplacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
Thank you,
Carrie Kleis, CPC