Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries.
by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
“The revised NCD is retroactive to 02/15/18; however, the implementation date is not until 02/26/19, so the -Q0 modifier will be required until February 26, 2019.”
Could you please clarify what retroactive means? What is required during the period between the retroactive date and the implementation date? Does it mean that we do not have to submit patients to the NCDR – ICD registry after 2/15/18? Or, do we have to submit these patients to the registry until 2/26/19? Thank you.
It means that the MAC’s software won’t be updated to remove the requirement of the -Q0 modifier until 02/26/19. On 02/26/19 the -Q0 requirement will be removed from the MAC’s edits going back to 02/15/18. Until 02/26/19, you can choose to submit the data to the registry and bill with the -Q0 modifier until the implementation date, or choose not to submit the data to the registry, which requires you to hold the claim and bill it no earlier than 02/26/19.
Note: Dr. Zielski’s description of the revision to NCD 20.4 can be viewed here.
Updates for Interventional Radiology, Cardiology, and Vascular Surgery Webinar
Updated for 2019! High level overview of the extensive 2019 coding changes affecting interventional radiology, cardiology, and vascular surgery. Learn more here