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AKI Claims and AX Modifiers

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) create reason codes to return certain claims to providers when AKI claims include an AX modifier or is billed with HCPCS J0604 or J0606.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1941OTN.pdf

Subject: Transitional Drug Add-on Payment Adjustment (TDAPA) for patients with Acute Kidney Injury (AKI)

Number: 1941

Title: 10281

Release Date: October 27, 2017

Effective Date: April 1, 2018

Implementation Date: April 2, 2018

Special Notes: N/A

 

  • Post author
    Lacy Gaskins