Results 1 to 3 of 3

QW Modifier

  1. #1
    Question QW Modifier
    Exam Training Packages
    I work for a pediatrics office and we sometimes bill out lab test such as 87804(influenza A/B) we have never billed out a modifier QW on them and have been getting paid. Our administrator is now telling us to get paid we need to start billing out a QW modifier with them when we bill.

    I am very confused... I'm a newer coder and don't have coding experience outside of school. I understand that the QW modifier means 'CLIA waived test' and have read up on it but everything I read seems to confuse me even more. I'm not sure why we are now need the QW modifier.

    Can someone please help?

    Cheryl, CPC-A

  2. #2
    Default QW modifier
    87804 can be done 2 ways - in the office (there's the QW) or can be sent to an outside lab to perform (no QW). I pulled the CLIA waived list from Medicare CMS site. I know you're Peds and don't have Mcare - but this list helps you to know what needs a QW and what doesn't. This gives you the company who makes the test so you get the brand name too.

    http://www.cms.gov/Transmittals/downloads/R1905CP.pdf

    I hope this helps.
    Lynn Ring, CPC, CPC-I, CCS, CCS-P
    Moffitt Cancer Center
    Tampa, Florida
    AAPC Chapter Association Board of Directors
    Region 5 Southwest - TX, OK, MO, KS, LA, AR, MS
    REGIONAL COLOR: ORANGE
    lring639@gmail.com
    lynn.ring@moffitt.org
    813-662-4149

  3. #3
    Default P.s. Qw
    scroll down for the list

    and they may be telling you to bill the tests twice for A & B - check with your provider to see if 2 tests are being performed
    Lynn Ring, CPC, CPC-I, CCS, CCS-P
    Moffitt Cancer Center
    Tampa, Florida
    AAPC Chapter Association Board of Directors
    Region 5 Southwest - TX, OK, MO, KS, LA, AR, MS
    REGIONAL COLOR: ORANGE
    lring639@gmail.com
    lynn.ring@moffitt.org
    813-662-4149

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.