AHA Coding Clinic® for HCPCS - 2002 Issue 2

ASK the EDITOR

Our facility has concerns regarding the appropriateness of claim submission for a patient admitted with chest pain, for billing purposes, met all of the qualifiers for payment under Observation, APC 339. When a nitro drip (Q0081) is included on the claim, the reimbursement for observation (G0244) is disallowed because Q0081 has a “T” status indicator. Is there a modifier appendable to the HCPCS code that will allow payment for such instances? ...

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