Menu
Menu
Question:
Does Medicare have any guidance for assigning modifier QF (prescribed amount of oxygen is greater than 4 LPM and portable oxygen is prescribed)?
Answer:
If portable oxygen is prescribed, the fee schedule amount for portable equipment is added to the fee schedule amount for stationary oxygen rental. In addition to modifier QF, modifier QG (prescribed amount of oxygen is greater than 4 LPM) should be used to denote when the oxygen flow exceeds 4 liters per minute.
According to the Centers for Medicare & Medicaid Services in MM9848, modifier QF should be used in conjunction with claims submitted for stationary oxygen (codes E0424, E0439, E1390, or E1391) and portable oxygen (codes E0431, E0433, E0434, E1392, or K0738) when the prescribed amount of oxygen is greater than 4 LPM.
For more on this policy, go to https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9848.pdf.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address:Â 5874 Blackshire Path, #13, Inver Grove Heights, MN 55076
Phone:Â (800) 252-1578
Email:Â support@medlearnmedia.com
Hours:Â 9am – 5pm CT
Copyright © 2024 MedLearn Publishing. Powered by MedLearn Media.
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ Â is just $99 for a limited time! Use code WorldHealth24 at checkout.