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Wiki Coding QW with code 87046

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Rifle, CO
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I am a CPC-A and have a question on QW modifier for the code 87046 I have done some researching with nothing stating that the code 87046 needs a QW modifier. We have a clia certification for the clinic trying to bill this code but it's being denied by Medicare without the modifier QW. Is it appropriate to bill this with a QW or not?
 
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