MMORITZ
Guest
I wanted to know tried to bill tear lab for dry eyes to the va-medical I WAS TOLD THAT MEDICARE IS THE ONE THAT PROCESS CLAIM, WE BILLED WITH OFFICE VISIT 92004 AND 83861 QW-MODIFER THIS WAS DONE ON BOTH EYES.
WE CHARGED $57.00 PER EYE. SO MY QUESTION IS WOULD I BILL TEAR LAB LIKE THIS: 83861- QW- 50 /2 UNITS $ 114.00 OR 83861-RT $57.00 1 UNIT AND 83861 LT $ 57.00 1 UNIT. WHICH THEY HAVE DENIED THAT TIME BECAUSE THE MODIFER. NOW THE QW HAS SOMETHING TO DO WITH TE CLIA # FROM WHAT I WAS TOLD. QW-STANDS FOR CLIA WAVED TEST LIST FROM CMS.
ALSO I HAVE ANOTHER QUESTION; SO IF A PATIENT HAD A MULTIPLE LID LESION REMOVE ON THE SAME EYE SAY IT WAS THE LEFT ;2 ON THE UPPER EYE LID AND ONE ON THE BOTTOM EYELID FOR THE SAME EYE HOW WOULD THIS BE CODED IT?
THANK YOU,
MARY
WE CHARGED $57.00 PER EYE. SO MY QUESTION IS WOULD I BILL TEAR LAB LIKE THIS: 83861- QW- 50 /2 UNITS $ 114.00 OR 83861-RT $57.00 1 UNIT AND 83861 LT $ 57.00 1 UNIT. WHICH THEY HAVE DENIED THAT TIME BECAUSE THE MODIFER. NOW THE QW HAS SOMETHING TO DO WITH TE CLIA # FROM WHAT I WAS TOLD. QW-STANDS FOR CLIA WAVED TEST LIST FROM CMS.
ALSO I HAVE ANOTHER QUESTION; SO IF A PATIENT HAD A MULTIPLE LID LESION REMOVE ON THE SAME EYE SAY IT WAS THE LEFT ;2 ON THE UPPER EYE LID AND ONE ON THE BOTTOM EYELID FOR THE SAME EYE HOW WOULD THIS BE CODED IT?
THANK YOU,
MARY