HCPCS Level II modifier
Modifier KT
Modifier KT is a HCPCS Level II modifier. CMS describes it as: Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item.
Source: CMS HCPCS Level II, October 2026 file dated September 23, 2026. Publisher page
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- Modifier
- KT
- Type
- HCPCS Level II modifier, maintained by CMS
- CMS description
- Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
- Claim form
- CMS-1500 item 24D, up to four modifiers per line. 837P SV101-3 to SV101-6.
- Guidance
- CMS HCPCS quarterly update
Related modifiers
- KUDMEPOS item subject to DMEPOS competitive bidding program number 3
- KSGlucose monitor supply for diabetic beneficiary not treated with insulin
- KVDMEPOS item subject to DMEPOS competitive bidding program that is furnished as part of a professional service
- KRRental item, billing for partial month
- KWDMEPOS item subject to DMEPOS competitive bidding program number 4
- KQSecond or subsequent drug of a multiple drug unit dose formulation
- KXRequirements specified in the medical policy have been met
- KPFirst drug of a multiple drug unit dose formulation
Related pages
Questions
What does modifier KT mean?
Modifier KT is a HCPCS Level II modifier. CMS describes it as: Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item.
Is modifier KT a CPT or a HCPCS modifier?
KT is a HCPCS Level II modifier from the CMS quarterly HCPCS file. Two-digit numeric modifiers, such as 25 or 59, are CPT modifiers.
Where does modifier KT go on a claim?
On the CMS-1500 it goes in item 24D next to the procedure code. Each line holds up to four modifiers. On an 837P it goes in SV101-3 to SV101-6.
What denial comes back when a modifier is wrong?
A missing or mismatched modifier often comes back as CARC 4. A modifier that was not valid on the date of service comes back as CARC 182. A bundling edit the modifier should have bypassed comes back as CARC 97 or 236.