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.

 

Last Updated Fri, 26 Oct 2018 13:47:55 +0000