ACloserLook Reimbursement Issues in Diagnostic Imaging

New Modifiers Created

CMS has discontinued the QA, QR and QV HCPCS modifiers. They have created the “Q0” modifier to identify investigational services provided in a clinical research study and the “Q1” modifier to identify routine clinical services provided in a clinical research study. The Q0 modifier replaces QA and QR. The Q1 modifier replaces QV. All claims submitted for patient care in clinical research studies must use the two new modifiers for routine and investigational
clinical services. Effective for dates of service on or after January 1, 2008, claims submitted with the discontinued modifiers will be processed as return-to-provider/return as unprocessable.

The Transmittal can be found by going to http://www.cms.hhs.gov/Transmittals/Downloads/R1418CP.pdf

Winter 2008 Newsletter


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