HCPCS Modifier Q3

Description
Live kidney donor surgery and related services.

Guidelines/Instructions
Submit this modifier on services provided to a live kidney donor to indicate that the services are related to a kidney transplant.
  • All donor services must be submitted using the beneficiary's name (kidney recipient) and Medicare number 
  • It's very important to submit this modifier so recipient and kidney donor services can be distinguished from each other
  • For services rendered on/after October 1, 2015, we also suggest submitting ICD-10-CM code Z52.4 as a primary diagnosis

References

  • CMS IOM 100-04, Chapter 3, Section 90.1.1 F, 90.1.3 (PDF, 2.16 MB)
  • CMS IOM 100-02, Chapter 11, Section 140 (PDF, 455 KB)

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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