Wiki 33249 with the Q0 mod

[sallystavola]

Can someone please explain how we are to use this. We are getting denied. I have read everything but still confused. Do we need te registry with the national registry to use the Q0 modifier. My understanding there is only a few dx codes and for medicare we need to add a Q0 modifier. Is this correct. The mod doesn't make leads me to believe we have to reg. Thanks for any help I can get we are a physican office as well. Sally

 

[jewlz0879]

Can someone please explain how we are to use this. We are getting denied. I have read everything but still confused. Do we need te registry with the national registry to use the Q0 modifier. My understanding there is only a few dx codes and for medicare we need to add a Q0 modifier. Is this correct. The mod doesn't make leads me to believe we have to reg. Thanks for any help I can get we are a physican office as well. Sally

I've never used a Q0 mod on 33249; I have used it for Transapical/Transfemoral AVRs which my docs perform often. It seems to me it would be used with unlisted/Category III codes only. But I do not have any specific information on utlilization of the Q0.

 

[ademell]

As long as the study has been registered and approved, then you should be using the Q0 modifier on your claims. Here's the CMS instruction link.... typically difficult to read
https://www.cms.gov/transmittals/downloads/R1418CP.pdf

 

[g024201]

The Q0 modifier should be used on all ICD implants done for primary prevention. It is the hosptials responsiblity to then enter those patients into the ICD Registry.