Laboratory Question for the Week of November 16, 2015

Laboratory Compliance Question of the Week

Question:

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?

Answer:

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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