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doi: 10.3390/medicina58020267 [DOI] [PMC free article] [PubMed] [Google Scholar] 15

Commenters explained that this clarification is needed because of the discussion in section III.B.8 of the CY 2025 PFS proposed rule (89 FR 61805 through 61806) wherein CMS establishes that the modifier KX billing requirement applies to rural health clinics (RHC) and federally qualified health center (FQHC) claims, which are submitted using the 837I claim format