What does modifier qq mean

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What Does Modifier QQ Mean?

Modifier QQ is a type of medical coding used to indicate that a service or procedure is not usually covered by an insurance plan. This modifier is often used when a service or procedure is provided to a patient in a way that is not typically covered by the insurance plan. For example, if a patient needs a procedure that is typically covered by their insurance plan, but is performed in a way that is not typically covered, the provider may use the QQ modifier to indicate that the service or procedure is not usually covered.

The QQ modifier is also used to indicate that the service or procedure is being provided in a way that is more comprehensive than what is typically covered by the insurance plan. This can include additional tests, treatments, or services that are not typically covered. For example, if a patient needs a procedure that is typically covered by their insurance plan, but is being provided in a more comprehensive way, the provider may use the QQ modifier to indicate that the service or procedure is being provided in a more comprehensive way than what is typically covered.

It is important to note that the QQ modifier does not guarantee coverage for the service or procedure. The insurance company will still need to review the service or procedure to determine if it is covered by the insurance plan. In some cases, the insurance company may deny coverage even if the QQ modifier is used.

The QQ modifier is an important tool for providers to use when providing services or procedures that are not typically covered by the insurance plan. This modifier helps to ensure that the provider is not providing services or procedures that are not covered by the insurance plan, and it also helps to ensure that the patient is receiving the most comprehensive care possible.