CMS Update: G-Codes are gone! Keep using the KX modifier.

G-Codes are gone! Happy news for our therapy community.

The KX modifier is still required, though, so make sure you understand this update to the Medicare reporting requirements.

If your patient’s plan of care has exceeded the threshold of expenses, you must confirm these services are medically necessary. Report the KX modifier on the applicable claims and, as always, make sure your documentation supports the charge.

The KX modifier is no longer used to request an exception to the threshold.

You can read the CMS publication here:


If you’re a CONNECT user and have questions about these changes, or how to apply the KX modifier, Cedaron’s support team is here 24/7. Contact us and we’ll help you figure it out.

Not yet a member of the CONNECT family, but want to learn more? Let’s talk about some ways to make your documentation, billing, and reporting so. much. easier.