US · guidance
CMS Pub. 100-04, ch. 36, § 50.5
Claims for DMEPOS Items Furnished to a Beneficiary by a Skilled
Nursing Facility (SNF) or Nursing Facility (NF)
(Rev. 1544, Issued: 06-26-08, Effective: 07-01-08, Implementation: 07-07-08)
For purposes of claims adjudication under DMEPOS Competitive Bidding, beneficiaries who
maintain a permanent residence in a CBA and, while a resident of a SNF or NF outside of a
CBA, obtain a competitively bid item from that SNF or NF are treated as traveling beneficiaries
when their permanent address is within a CBA. As a result, the SNF or NF shall submit a “KT”
modifier on any claims for competitively bid items furnished to beneficiaries, under these
circumstances.
A claim must include a place of service “31” to indicate that the beneficiary resides in a SNF or
“32” to indicate that the beneficiary resides in a NF, as applicable. See §20.5.2 for the policies
applicable to SNFs and NFs that furnish competitively bid items under DMEPOS Competitive
Bidding Program.
History
(Rev. 1544, Issued: 06-26-08, Effective: 07-01-08, Implementation: 07-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
67f18aa2a3718695aa2f15338e55f0b0d02736fd21917797494df34735383d40
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