What is “KE and no KE” in medical billing?

KE and No KE in Medical Billing

KE refers to codes used for specific durable medical equipment (DME), indicating that the equipment is subject to competitive bidding pricing, while no KE refers to items not subject to competitive bidding.

KE and No KE in Medical Billing Explained

In medical billing, KE codes are applied to DME items that fall under Medicare’s competitive bidding program, affecting how reimbursement is calculated. No KE indicates equipment that does not fall under this program and can be reimbursed differently.

For example, a provider bills for a wheelchair with a KE code, signifying it is part of the competitive bidding program.

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