2024 Annual Update of Per-Beneficiary Threshold Amounts

Related CR Release Date: September 14, 2023
Effective Date: January 1, 2024
Implementation Date: January 2, 2024
Related Change Request (CR) Number: CR 13371
Related CR Transmittal Number: R12249CP

CR 13371 updates the annual per beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for calendar year 2024. 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the financial limitation amounts that were more commonly referred to as "therapy caps" before their application was repealed when the Bipartisan Budget Act of 2018 was signed into law.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.

Make sure your billing staff are aware of these changes.

View the complete CMS Change Request (CR)13371.

Last Updated Apr 17 , 2024