Addition of the QW Modifier to HCPCS Codes 87811 and 87428

MLN Matters Number: MM12093
Related CR Release Date: December 23, 2020
Related CR Transmittal Number: R10529OTN
Related Change Request (CR) Number: 12093
Effective Date: October 6, 2020
Implementation Date: April 5, 2021

CR 12093 informs you of the addition of the QW modifier to the following CMS Healthcare Common Procedure Coding System (HCPCS) codes:

  • 87811 [Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])] and code
  • 87428 [Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B].

Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12093.

            Last Updated Mon, 28 Dec 2020 15:36:34 +0000