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Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services

The purpose of this Change Request (CR) is to provide instruction to the A/B Medicare Administrative Contractors (MACs) regarding the usage of the KX modifier for the submission of Medicare claims for dental services inextricably linked to covered medical services under the Medicare Physician Fee Schedule.

Download the Guidance Document

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

Issue Date: June 27, 2024

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.