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#1
06-26-2012, 12:49 PM
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Q8 and q9 modifier
Hi everyone,
My doctor is billing for cpt code 11721 using modifier Q8 and Q9 together, I guess my question is, is that possible, can he use those 2 modifiers at the same time? Please help..I'm new to these codes. Thank you in advance 
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#2
06-26-2012, 02:37 PM
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Per the LCD that I have printed as of April 2012 from the CMS website you report modifieres on routine foot care as follows:
Q7-One Class A Finding Q8-Two Class B findings Q9-One Class and two Class C findings The classes are as follows: Class A-non traumatic amputation of foot or integral skeletal portion thereof Class B-absent posterior tibial pulse, advanced trophic changes (hair growth-decrease or absence), nail changes (thickening), pigmentary changes (discoloration), skin texture (thin, shiny), skin color (rubor or redness) and absent dorsalis pedis pulse Class C-claudication, temperature changes, edema, parasethesis, burning I suggest going to the CMS website, find the LCD section and look under Routine Foot Care. Thanks! Kim White, CPC Certified Coding Specialist SAPO Coding & Reimbursement Arnold Family Health Care 3619 Richardson Sq Dr Suite 170 Arnold, MO 63010 Phone: (636)717-6722 Fax: (636)464-5870 kimberly.white@samcstl.org
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