Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2019. The coding advice may or may not be outdated.

Modifier QQ

Date: Nov 7, 2019

Question:

How do we handle a case where a CT lung biopsy was ordered, but during the CT localization process the lesion is no longer present. We have been charging for 76380, but this requires a -QQ modifier in order to be paid by CMS. The decision to do the CT limited was not decided until the exam was done, so how do we bill this out? Should we bill 77012 and 32405 (-73 vs. -74 depending before or after sedation was given)?

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!