Inpatient Facility Coding & Compliance Alert

You Be the Coder:

Here's When to Include Modifier QW With 89321

Question: Our Medicare contractor is denying payment for 89321, whether we’re billing for inpatient or outpatient, and whether or not we use modifier QW. Why aren’t our claims paid? Illinois Subscriber Answer: The place of service (inpatient or outpatient) shouldn’t impact billing for 89321 (Semen analysis; sperm presence and motility of sperm, if performed). The question doesn’t provide enough information to [...]
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