Competitive Bidding - Non-Contract Exceptions - Physicians and Other Treating Practitioners, Physical Therapists, and Occupational Therapists

For Physicians/Practitioners and Physical and Occupational Therapists the additional modifiers below should also be appended in the following situations:

  • When providing brace as part of professional service in beneficiary’s CBA (must be same date of service)
  • Beneficiary travels to non-CBA for procedure (surgery) and then goes home (KT not applicable)
  • Beneficiary temporarily living in another CBA or non-CBA (KT not applicable)

Physicians/Practitioners - KV
Physical Therapists and Occupational Therapists - J5

 

            Last Updated Fri, 23 Apr 2021 21:02:31 +0000