I would like clarification on how to appropriately report routine cost associated with clinical trial services using modifier Q1 and secondary diagnosis code V70.7. Should practices report the modifier and diagnosis code to each line item associated with the clinical trial? Also, since the drug is usually supplied by the pharmaceutical company at no cost to the practice we would bill for the administration of the drug. Should we report a J code with a $0 charge and is there a reduction in reimbursement when the Q1 modifier is attached to routine services?
Below is an example of a claim in question:
96413-Q1
172.8, V70.7
96415-Q1
172.8. V70.7
85025-Q1
172.8, V70.7
80053-Q1
172.8, V70.7
99213-25-Q1
172.8, V70.7
JXXXX-Q1
172.8, V70.7
$0
Would the above example be the correct way to report routine cost associated with a clinical trial?
Below is an example of a claim in question:
96413-Q1
172.8, V70.7
96415-Q1
172.8. V70.7
85025-Q1
172.8, V70.7
80053-Q1
172.8, V70.7
99213-25-Q1
172.8, V70.7
JXXXX-Q1
172.8, V70.7
$0
Would the above example be the correct way to report routine cost associated with a clinical trial?