E1825, E1830 and E1831 and Use of Modifiers - JA DME
E1825, E1830 and E1831 and Use of Modifiers
Joint DME MAC Publication
Effective for dates of service on or after January 1, 2015, devices coded with HCPCS code E1825 (Dynamic adjustable finger extension/flexion device, includes soft interface material) must use one of the following modifiers when billing this code:
| Modifier | Description |
|---|---|
| FA | Left hand, thumb |
| F1 | Left hand, second digit |
| F2 | Left hand, third digit |
| F3 | Left hand, fourth digit |
| F4 | Left hand, fifth digit |
| F5 | Right hand, thumb |
| F6 | Right hand, second digit |
| F7 | Right hand, third digit |
| F8 | Right hand, fourth digit |
| F9 | Right hand, fifth digit |
Effective for dates of service on or after January 1, 2015, devices coded with HCPCS Codes E1830 (Dynamic adjustable toe extension/flexion device, includes soft interface material) or E1831 (Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories) must use one of the following modifiers when billing these codes:
| Modifier | Description |
|---|---|
| TA | Left foot, great toe |
| T1 | Left foot, second digit |
| T2 | Left foot, third digit |
| T3 | Left foot, fourth digit |
| T4 | Left foot, fifth digit |
| T5 | Right foot, great toe |
| T6 | Right foot, second digit |
| T7 | Right foot, third digit |
| T8 | Right foot, fourth digit |
| T9 | Right foot, fifth digit |
Failure to append a modifier to claim lines with codes E1825, E1830 or E1831 will result in a rejection for incorrect coding.
