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US · guidance

CMS Pub. 100-04, ch. 32, § 240.2

Billing Instructions for Physicians and Non-Physician Practitioners

activein force · 2026-08-25 – presentas-observed

The KX modifier is to be billed on the detail line only with the procedure code(s) that is

gender specific for transgender, ambiguous genitalia, and hermaphrodite beneficiaries.

(NOTE: The KX modifier is a multipurpose informational modifier, and may also be used in

conjunction with other medical policies.)

History

(Rev. 1877, Issued: 12-18-09, Effective: 04-01-10, Implementation: 04-05-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
58836234b11b33f594465202b9828039e26293c200ada9abc2a5aac5d53ef907
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