New Repair and Replacement Modifiers
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New Repair and Replacement Modifiers

Effective for claims with dates of service on/after January 1, 2009, the RP modifier will no longer be accepted for the use of repair and replacement.  The following modifiers will be required:

RA Replacement of beneficiary-owned DMEPOS due to the expiration of the equipment's reasonable useful lifetime or to loss, irreparable damage, or when the item has been stolen

RB Replacement parts furnished in order to repair beneficiary-owned DMEPOS

Report the appropriate modifier on claims in 2009. Electronic claims submitted with an RP modifier for dates of service on/after January 1, 2009, will be rejected via an error on the GenResponse report.  Paper claims submitted with an RP modifier for dates of service on/after January 1, 2009 will be denied as an unprocessable with the following reason code:

CO-4 The procedure code is inconsistent with the modifier used or a required modifier is missing

Claims will need to be resubmitted with the correct modifier.

(011609)

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