Labs Modifier?

veloso

Guru
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227
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Hi All,
I need help on what modifier/s for HCPCS CODE G0479 AND G0480 please.

Thank you,
IM
 

veloso

Guru
Messages
227
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You will have to be more specific. What are you trying to accomplish by adding a modifier?

Hi,
Honestly I not really sure because I just got a message from the our biller to UPDATE missing modifiers for those codes and hoping for your assistance.

Thank you
 

Walker22

True Blue
Messages
699
Location
Cumming, GA
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Hi,
Honestly I not really sure because I just got a message from the our biller to UPDATE missing modifiers for those codes and hoping for your assistance.

Thank you

The most likely modifier is QW (CLIA Waived Lab Test), but that's not the only possible option. I'll need more info to help you further.
 

sbond

Guest
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G0479

We have a Type 2 CLIA certification and our G0479 is being denied by Medicare stating that it needs to be a higher certification (4). The question is, if we bill G0479 can we use modifier QW and not place the CLIA we have on the claim? Thanks!
 

Walker22

True Blue
Messages
699
Location
Cumming, GA
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We have a Type 2 CLIA certification and our G0479 is being denied by Medicare stating that it needs to be a higher certification (4). The question is, if we bill G0479 can we use modifier QW and not place the CLIA we have on the claim? Thanks!

I would advise to use the QW modifier and still place your existing type 2 CLIA number on the claim. The reason they say you need a higher CLIA certification is because you do not have the QW. With the QW, type 2 CLIA waiver is sufficient.
 
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