Q8 modifier and tibial pulses

rmness

Contributor
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Fargo
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Is it appropriate to use the Q8 modifier if the provider documents "posterior tibial pulses were absent bilaterally" with no other class findings? The provider states there isn't anything that says you can't count them twice as technically it is two seperate items (1 from each leg) and that should fulfill the two items needed from the class B findings.
 

hofm04

Networker
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I misread your question. That is a good question. I do not know but I submitted it to CMS.
 

rmness

Contributor
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Fargo
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Please let me know how they respond, it is a good point they are making. Thanks!!
 

Randi

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Local Chapter Officer
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La Crosse, WI
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clarification of Q8 modifier

I am just wondering if a consensus was ever reached? My Providers will use either posterior tibial or dosalis pedis pulse absent bilateral regularly. I really feel this supports the intent of the Class Findings. But would really like to hear how others view this. Thanks
 

bostonmom

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Does anyone know if the pulses are detected by doppler only, if that can count as absent? Trying to get a handle on the absent part.
Pulses:
Dorsalis pedis pulses are detected w/ Doppler on the right side and detected w/ Doppler on the left side.
Posterior tibial pulses are detected w/ Doppler on the right side and detected w/ Doppler on the left side.

Any guidance will be greatly appreciated!
 
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