Subject: Nondurable medical supplies and equipment (MSE): Use of modifier 59 for procedure code T4534.

     Effective Date: Retroactive April 1, 2004.

     Document Description: Retroactive to dates of service April 1, 2004, through December 31, 2004, the Medical Assistance Administration (MAA) is allowing the use of modifier 59 for procedure code A4534 in certain circumstances. Retroactive to dates of service on and after January 1, 2005, MAA is allowing the use of modifier 59 for procedure code T4534 in certain circumstances. (T4534 replaced procedure code A4534.)

     MAA has revised the fee schedule in MAA's current Nondurable Medical Supplies and Equipment (MSE) Billing Instructions, and is attaching the new fee schedule to this memorandum. MAA is correcting the following numbered memoranda pages:

•	Page G.25 of Numbered Memorandum 04-16 MAA;
•	Page G.20 of Numbered Memorandum 04-44 MAA;
•	Page G.25 of Numbered Memorandum 04-99 MAA; and
•	Page G.26 of Numbered Memorandum 05-08 MAA.

     To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Office of Rules and Publications, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to web site http://maa.dshs.wa.gov/download/publicationsfees.htm (click on "Numbered Memos," "Year 2005"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail salmobl@dshs.wa.gov.

April 7, 2005

Barbara L. Salmon

for Ann Myers, Manager

Rules and Publications Section

© Washington State Code Reviser's Office