Modifier KI
Modifier KI Description and Billing Use
Plain-language description
DME rental sequence modifier.
How modifier KI is used
KI identifies the second or third rental month for an applicable DMEPOS item. It should follow a valid rental sequence and does not replace RR, medical-necessity, order, delivery, or continued-billing requirements.
Modifier KI questions
What does the KI modifier mean?
KI identifies the second or third rental month for an applicable DMEPOS item.
What is the difference between KH, KI, and KJ?
KH generally identifies the initial claim or first rental month, KI months two and three, and KJ applicable months four through fifteen.
Before reporting this modifier
- 1. Confirm the current official or licensed definition and payer acceptance.
- 2. Identify the exact claim circumstance the modifier communicates.
- 3. Make the code, setting, related services, and medical record consistent.
- 4. Check NCCI, global surgery, component, DME, ABN, or drug rules that apply.
- 5. Do not append a modifier only to force an edit override.
This is a workflow summary, not a licensed CPT definition or claim-specific coding instruction. Verify the code set and payer rule effective for the date of service.