Wiki help with Q0

[PYARNELL]

We have been denied payment for some AICD's coded with 33249 saying that we need
to add modifier Q0, which is for clinical studies. Our patients aren't registered in a
clinical study or have any of the approved Dx. I'm a new coder and don't know what
to code to get these paid for. Any suggestions?

 

[maryawinfield04]

only Medicare accepts the Q0 modifier your patients do not have to be registered with any clinical studies those codes for Defibrillators automatically get that modifier when it's a Medicare patient all other carriers deny that procedure code with the Q0 modifier.

Mary Winfield, CPC