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Kelly Posted Mon 25th of October, 2010 17:41:26 PM

Can someone please clarify if it is fraud to bill a UA with a 59,qw modifier????

SuperCoder Answered Mon 25th of October, 2010 19:25:46 PM

We can use only a modifier 59 with UA, but not QW, because it is not a CLIA-waved test.

Gerri Answered Thu 28th of October, 2010 19:00:10 PM

It depends on the UA you are performing as well. Certain UA's are CLIA waived and you would apply the QW. Examples: 81002 and 81003 and also 81025 for a UA pregnancy test.

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