CGS to Stop Accepting Faxed Reopening Requests on Aug. 1
CGS Administrators, the jurisdictions B and C DME MAC, will stop accepting faxed reopening request changes starting Aug. 1.
The contractor is making the change to “help us process your requests faster and more accurately,” according to a May 18 announcement.
Suppliers will need to use the myCGS DME Web Portal or submit reopening request changes by phone or mail.
Handwritten forms will also no longer be accepted for reopening requests starting Aug. 1. Suppliers can visit the CGS website to download new reopening request forms and instructions.
DME MACs Publish Joint Article on KF Modifier Use
Noridian Healthcare Solutions (Jurisdictions A and D) and CGS Administrators (Jurisdictions B and C) have published a joint article on use of the KF modifier.
“KF Modifier Use — Correct Coding — Revised” was posted by Noridian on May 14.
The KF modifier indicates a product designated as a Class III device by the U.S. Food & Drug Administration (FDA).
“Suppliers are reminded that when they append the KF modifier to a claim line, they are attesting that the claim line includes a device classified by the Food and Drug Administration (FDA) as Class III,” the article said. “Classification of a device as Class III is specific to the device. It is not specific to the HCPCS code that describes the device; therefore, you should verify that the specific device being billed is Class III before appending the KF modifier to the HCPCS code on your claim.”
HCPCS codes that can describe Class III devices include A4239 (Supply allowance for non-adjunctive, non-implanted continuous glucose monitor [CGM], includes all supplies and accessories, one-month supply = one unit of service); E2102 (Adjunctive, non-implanted continuous glucose monitor or receiver); and K0606 (Automatic external defibrillator, with integrated electrocardiogram analysis, garment type).
