04/29/2024

Correct Use of Q Modifiers

My new EMR company is placing Q modifiers on claims that are E11.42 to medicare. I don't think it is needed. Is it incorrect to send it with a Q modifier?

It is incorrect to utilize Q modifier on every claim that has a Diabetic Diagnosis. Q (Q7, Q8 or Q9 ) modifiers are specific to the Qualifying Condition of the patient and applies to billing Medicare for the procedure codes such as Corns/Calluses, Debridement or Nail trimming.  Please follow the LCD policy guidelines.  Be careful with templates that are pre-filled.