Inpatient Facility Coding & Compliance Alert

You Be the Coder:

Here's When to Include Modifier QW With 89321

Question: Our Medicare contractor is denying payment for 89321, whether we’re billing for inpatient or outpatient, and whether or not we use modifier QW. Why aren’t our claims paid? Illinois Subscriber Answer: The place of service (inpatient or outpatient) shouldn’t impact billing for 89321 (Semen analysis; sperm presence and motility of sperm, if performed). The question doesn’t provide enough information to [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.