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.