Bill capped rental modifiers as appropriate
CarePartners of Connecticut would like to remind our provider network that capped rental durable medical equipment (DME) items (i.e., DME items that may only be reimbursed for a certain number of months per CMS) should be billed with the appropriate capped rental modifier, in accordance with correct coding practices.
When billing capped rental equipment codes for Medicare members, you must use modifier KH for the first month of the rental, modifier KI for the second and third months, and modifier KJ for months four through 13. It is not appropriate to report modifier RR throughout the rental period.
KH | Initial claim, either rent (first month) or purchase |
KI | Second or third month rental |
KJ | Rental month four to 13 |
NU | New equipment |
UE | Used durable medical equipment |
When billing for new and used equipment purchases, providers must continue using the NU (new) and UE (used) modifiers.