Q0 - JA DME

Investigational clinical service provided in a clinical research study that is in an approved clinical research study

This modifier identifies when a beneficiary is enrolled in an approved clinical study.

Correct Use

• Use for home oxygen for treatment of cluster headaches (CH)
• Use for transcutaneous electrical nerve stimulators (TENS) for treatment of chronic low back pain (CLBP)

In addition to modifier Q0, include clinical trial number on claim as well.

• Paper claims: Indicate clinical trial number in Item 19 preceded by the letters "CT"
• EMC: Indicate clinical trial number in Loop 2300 REF02(REF01=P4)

Resources

• Active Local Coverage Determinations (LCDs)
  • Oxygen and Oxygen Equipment
  • Transcutaneous Electrical Nerve Stimulators (TENS)