Noridian updates neb-med billing instructions
FARGO, N.D. - Noridian Administrative Services, the Jurisdiction D MAC, clarified its billing instructions for certain respiratory medications. For Q4093, the concentrated form of albuterol and levalbuterol, no modifier is needed, while the unit dose form of both drugs, Q4094, needs a KO modifier. For any unit dose form of a nebulizer drug, the KO modifier must be submitted. If the drug code is billed without a modifier or is billed with a KP or KQ modifier, the claim will be rejected or denied. HCPCS codes J7611, J7612, J7613 and J7614 billed for service afer July 1, 2007 are not payable.