HCPCS Modifier LU

Published 05/01/2023

Description
Fractionated payment.

Guidelines and Instructions
The modifier signifies the submitted service is billed with fractionated units.   

Approved Services
The National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy require providers to bill the HCPCS modifier LU on CAR T-cell claims.

Reference: CMS National Coverage Determinations (NCD) Manual (Pub. 100-03), Chapter 1 (PDF), Part 2  NCD 110.24 — CAR T-Cell.


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