marvelh
Expert
Medicare has released a transmittal on February 11th that is effective for 2011 dates of service. It directs contractors to accept G0434-QW in the place of G0430-QW...
"The Medicare contractor shall permit the use of code G0434QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of service on or after January 1, 2011."
For any of you that received denials from your Medicare contractors for invalid modifier with G0434-QW, reference this transmittal for your appeals: http://www.cms.gov/transmittals/downloads/R2155CP.pdf
For any of your practices that are CLIA-waived, it will be necessary to continue to use the QW modifier with G0434 to indicate that you are compliantly using a CLIA waived test method.
"The Medicare contractor shall permit the use of code G0434QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of service on or after January 1, 2011."
For any of you that received denials from your Medicare contractors for invalid modifier with G0434-QW, reference this transmittal for your appeals: http://www.cms.gov/transmittals/downloads/R2155CP.pdf
For any of your practices that are CLIA-waived, it will be necessary to continue to use the QW modifier with G0434 to indicate that you are compliantly using a CLIA waived test method.