Remove AX Modifier in Dialysis Manager Billing Setup

This tutorial explains how to remove the AX modifier from TdapA drugs on all claims in Dialysis Manager.

1. Introduction

Effective July 1st, 2026 CMS no longer wants the AX modifier. Please note: If a charge from before 07/01/2026 is billed after these changes are made, the AX modifier must be added manually to the claim.

2. Access Import/Export Section

Click "Import/Export" to begin the process of removing the AX modifier from claims.

3. Open Export Treatment Billing

Click "Export Treatment Billing" to access the billing export options.

4. Navigate to Billing Setup

Click "Billing Setup" to configure billing parameters related to treatment claims.

5. Choose Active Edit Option

Choose the active edit option to modify billing settings.

6. Select TdapA Medication

Find the medications FT segments and select the TDAPA medication.

7. Access Special Conditions

Click on the special conditions to view modifiers associated with the medication.

8. Edit Special Conditions

Click on edit to modify the special conditions for the selected medication.

9. Delete AX Modifier

Click "Delete" to remove the AX modifier from the special conditions.

10. Select Observation Segments

Repeat this process for all your TDAPA drugs.

11. Sign and Save Changes

Click "Sign & Save" to apply and save all changes made to the billing setup.

12. Close Billing Setup

Click "Close" to exit the billing setup after completing the modifier removal process.

You have successfully removed the AX modifier from all TDAPA medication claims in Dialysis Manager.