Usually do not apply Modifiers to codes. Just use the 5 digit HCPCS code separated by commas if multiple codes apply. See K0739RB exception below.
If Medicare labor code K0739, use code and modifier K0739RB.
Options
Part Number
Description
Codes: HCPCS codes (usually 5 digit no modifiers) separated by commas if multiple codes apply. If Medicare labor code K0739, use code and modifier K0739RB.
Sub Code: Specifies category of K0108. Only use when Code is specified as K0108.
Retail: Retail (MSRP).
Detail Qty: Detail quantity must be a number such as 1 for each or 2 to specify a pair.