Laboratory Question for the Week of November 16, 2015

Laboratory Compliance Question of the Week


In your answer to the November 2 laboratory question, you stated that CMS proposed a new status indicator for lab tests. Was this modifier approved as final?


Yes, the status indicator (SI) Q4 will be implemented on January 1, 2016. It identifies conditionally packaged laboratory tests that have a packaged APC payment if they are billed on the same claim as a code assigned with SIs of J1, J2, S, T, V, Q1, Q2, or Q3. The SIs can be found in Addendum B along with the codes and other payment information for 2016.

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