Provider Notices

DME Time Modifier

6/10/2009 2:26:27 PM


Attention Durable Medical Equipment Suppliers:
Clear Choice Health Plans in accordance with Medicare guidelines is requiring the usage of time modifiers on DME rent-to-cap supplies. To ensure the accurate claim payment, continue to bill the RR modifier and the correct time modifiers. The time modifiers are: KH, KI, and KJ.  If you have questions about the Medicare regulations regarding time modifiers, please reference Chapter 20, Medicare Billing Manual (link attached).

DMEPOS item, initial claim, purchase or first month rental
DMEPOS item, second or third month rental
DMEPOS item, PEN pump or capped rental months four to fifteen

Medicare Billing Manual Chapter 20:
If you need further assistance or have questions, please contact Provider Relations at or by calling your Provider Representative at 541-385-5315.