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MLN Matters Article MM12093 (New): Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 87811 and 87428

This Article comprises Sub-regulatory guidance for physicians, providers, and suppliers who submit claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries. It provides information on adding the QW modifier to the 87811 and 87428 CMS HCPCS codes. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12093 that is posted on the CMS website.

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Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 23, 2020

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.