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 The coding advice may or may not be outdated.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)?
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