CGS, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Jurisdictions B and C, has introduced a modifier recommendation tool. The Advanced Modifier Engine was designed by CGS to assist suppliers in billing proper Healthcare Common Procedure Coding Systems (HCPCS) codes and modifier combinations. The tool includes durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) commonly billed HCPCS codes with billing scenarios. Based on the specific HCPCS entered and the billing scenario, the tool recommends modifiers for claim submission.
To access the Advanced Modifier Engine, visit cgsmedicare.com/medicare_dynamic/jb/advanced_modifier_engine.