CMS Updates List of ICD-9-CM Diagnosis Codes Not Needing the Q0 HCPCS Modifier

The Centers for Medicare and Medicaid Services has updated the list of ICD-9-CM diagnosis codes that do not require either an HCPCS –QR or –Q0 modifier for implantable cardiac device services provided in a clinical study, according to an article in MLN Matters.

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The following ICD-9-CM codes do not require a –QR or –Q0 modifier as of dates of services on or after Jan. 1, 2008:

  • 427.1 — Ventricular tachycardia
  • 427.41 — Ventricular fibrillation
  • 427.42 — Ventricular flutter
  • 427.5 — Cardiac arrest
  • 427.9 — Cardiac dysrhythmia, unspecified
  • V12.53 — Personal history of sudden cardiac arrest
  • 996.04 —Mechanical complication of cardiac device, implant, and graft, due to automatic implantable cardiac defibrillator
  • V53.32 — Fitting and adjustment of other device, automatic implantable cardiac defibrillator

Read the MLN Matters on the updated ICD-9-CM diagnosis codes (pdf).

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