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June 2020

We’ve updated modifier requirements for HCPCS codes for segmental pneumatic appliances

Effective Feb. 1, 2020, the specified HCPCS codes for segmental pneumatic appliances must be reported on separate lines with the appropriate LT or RT modifier. If the modifiers aren’t reported, the claim will reject as provider liable.

The system will allow payment for one LT and one RT modifier for each of the HCPCS codes every five years. The HCPCS codes are below:

  • E0655
  • E0660
  • E0665
  • E0666
  • E0667
  • E0668
  • E0669
  • E0670
  • E0671
  • E0672
  • E0673

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.
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