2023 Annual Update of Per-Beneficiary Threshold Amounts

Related CR Release Date: October 6, 2022
Related CR Transmittal Number: R11626CP
Related Change Request (CR) Number: 12923
Effective Date: January 1, 2023
Implementation Date: January 3, 2023

CR 12923 updates the annual per-beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for calendar year 2023. These amounts were previously associated with the financial limitation amounts that were more commonly referred to as “therapy caps,” before their application was repealed when the Bipartisan Budget Act of 2018 was signed into law. Information related to this recurring update notification can be found in Publication 100-04, Chapter 5, Section 10.

View the complete CMS Change Request (CR)12923.

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