KMC0231
New
Hello all,
I am at an absolute loss with this.
Our ED physician has tried billing 01380-QS and 01380-QZ-QS to Medicare.
Medicare has rejected both stating that the modifier(s) is inconsistent or invalid with the service.
After researching, I have found that the QS modifier is informational only and should be reported in the 2nd field, after the pricing modifier.
All pricing modifiers seem to only apply to A) Anesthesiologists 2) CRNA's
I understand that both of the formats used above are incorrect.
What I do not understand is how an ED doc should bill 01380.
Has anyone ever billed for anesthesia services for an ED doc before?
Could anyone advise on the correct modifiers to use?
I would greatly appreciate your help!
Thank You,
Lost & New at this
I am at an absolute loss with this.
Our ED physician has tried billing 01380-QS and 01380-QZ-QS to Medicare.
Medicare has rejected both stating that the modifier(s) is inconsistent or invalid with the service.
After researching, I have found that the QS modifier is informational only and should be reported in the 2nd field, after the pricing modifier.
All pricing modifiers seem to only apply to A) Anesthesiologists 2) CRNA's
I understand that both of the formats used above are incorrect.
What I do not understand is how an ED doc should bill 01380.
Has anyone ever billed for anesthesia services for an ED doc before?
Could anyone advise on the correct modifiers to use?
I would greatly appreciate your help!
Thank You,
Lost & New at this