Forum - Questions & Answers

Aug 20th, 2014 - SASHACMG 1 

Q0091 and G0101

If a Q0091 and G0101 are billed together do either of them require a 59 modifier?

I have a doctor who bills 99396 with dx V70.0,V723.31,V76.10
Q0091-V72.31
G0101-V72.31

Thank you

Aug 20th, 2014 - Kat31477 56 

re: Q0091 and G0101

No modifier required, but you may want to consider using GA and having the patient sign an ABN because Medicare only covers the services once every 2 years with dx code V76.2 (what I use). Medicare WILL cover each year for patient's considered high risk (V15.89). You can look up the guidelines for what is considered high risk by Medicare.



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