Suppliers must affix the KT modifier to claims for competitively bid items that are furnished to beneficiaries who live in a Competitive Bid Area (CBA) and need a competitively bid item when they have traveled outside of the CBA where they reside.

Correct Use

• Append if a beneficiary who lives in a CBA travels to an area that is not a CBA and obtains an item included in competitive bidding program, non-contract supplier must affix this modifier to claim
• Append if a beneficiary who lives in a CBA travels to a different CBA and obtains an item included in competitive bidding program from a contract supplier for that CBA
• Append to enteral nutrition items furnished to residents with a permanent home address in a CBA that are submitted by Skilled Nursing Facilities (SNF) and Nursing Facilities (NF) that are not contract suppliers
  • SNF or NF claims that meet this criteria and are not submitted with this modifier will be denied

Incorrect Use

• Do not use for mail-order DMEPOS competitive bid items

Resources

• Medicare Learning Network (MLN) Matters Special Edition (SE)1035 - Revised