dlpirtle
Contributor
The oncology practice I work for is in Illinois. We billed a patients Medicaid for the chemotherapy treatment they received. We received a denial and when we called Medicaid, they stated that instead of the 76 modifier, we would need to use the KQ modifier for the chemotherapy. This chemotherapy is a combination of two drugs with one "J" code and NDC for the vial size used. There were 2 vial sizes used so 2 different NDC's but I do not think that we should use the KQ modifier for this. Am I thinking right in this instance?
Thank you.
Thank you.