HCPCS Modifier QP

Description
Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a CPT-recognized panel other than automated profile codes 80002 through 80019, G0058, G0059 and G0060.

Guidelines/Instructions
  • Submit this modifier when the laboratory test was ordered as a single test or when a single code is available for a grouping of tests. This modifier indicates that the test was ordered individually or ordered as a CPT-recognized panel other than automated profile CPT codes 80002 through 80019 and HCPCS codes G0058 through G0060.
  • This modifier may be submitted with the following codes:
    • CPT codes 80002 through 89399
    • HCPCS codes G0026 through G0027
    • HCPCS code G0107
    • HCPCS codes P2028 through P2031
    • HCPCS codes P2033 through P2038
    • HCPCS codes P3000 through P3001
    • HCPCS codes P9010 through P9022
    • HCPCS codes Q0111 through Q0015

Reference: CMS Pub. 100-04, Chapter 16, Section 90.5 (PDF, 526 KB).

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