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MM12470 - 2022 Annual Update of Per-Beneficiary Threshold Amounts

In this Article, you will learn about:
• The updates to the annual per-beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for calendar year 2022 (CY 2022)
• The CY 2022 KX modifier threshold amounts are:
• $2,150 for Physical Therapy (PT) and Speech-Language Pathology (SLP) services combined
• $2,150 for Occupational Therapy (OT) services

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 09, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.