KX HCPCS Level II modifier: Requirements specified in the medical policy have been met
KX is a HCPCS Level II modifier: “Requirements specified in the medical policy have been met.” It adds this detail to the code it is reported with.
Official description
KXRequirements specified in the medical policy have been met
Short description: Documentation on file
HCPCS · United States
Medicare details
The indicators CMS publishes with KX in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Added
- Jul 1, 2002
Where KX sits
- 1GroupHCPCS modifiers
- 2Modifier KXRequirements specified in the medical policy have been met
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code KX mean?
KX is the HCPCS code for “Requirements specified in the medical policy have been met” in CMS’s HCPCS Level II October 2026 release.
Where is KX in the HCPCS Level II list?
KX is listed under Modifiers.
Does Medicare cover KX?
CMS lists KX’s Medicare coverage as “Carrier judgment”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside KX
All modifiersKRRental item, billing for partial monthKSGlucose monitor supply for diabetic beneficiary not treated with insulinKTBeneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid itemKUDmepos item subject to dmepos competitive bidding program number 3KVDmepos item subject to dmepos competitive bidding program that is furnished as part of a professional serviceKWDmepos item subject to dmepos competitive bidding program number 4KYDmepos item subject to dmepos competitive bidding program number 5KZNew coverage not implemented by managed careL1Provider attestation that the hospital laboratory test(s) is not packaged under the hospital oppsLCLeft circumflex coronary arteryLDLeft anterior descending coronary arteryLLLease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)