bcousey26
Networker
I've been on the phone with Notivas (Medicare-JH4-MAC) regarding the denial of CPT 33249. According to the rep, the claim was denied as it needs either a Q0 or Q1 modifier, in addition to an medically necessary diagnosis code.
The medical necessity of the diagnosis code is more than understandable, but I've never and I mean NEVER had to use either a Q0 and/or Q1 on 33249. Is this a new rule? From what information I can gather these modifier are used for clinical research patient-This patient is not under clinical research to my immediate knowledge.
Is anyone else having to place Q0/Q1 modifier when billing 33249. Where can I locate educational information under CMS or Notivas so that I can inform our charge entry staff.
This is confusing....Any help is greatly appreciated.
The medical necessity of the diagnosis code is more than understandable, but I've never and I mean NEVER had to use either a Q0 and/or Q1 on 33249. Is this a new rule? From what information I can gather these modifier are used for clinical research patient-This patient is not under clinical research to my immediate knowledge.
Is anyone else having to place Q0/Q1 modifier when billing 33249. Where can I locate educational information under CMS or Notivas so that I can inform our charge entry staff.
This is confusing....Any help is greatly appreciated.