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tci ED Coding & Reimbursement Alert - 2010 Issue 12

Reader Questions: Use Modifier Q6 to Represent 'Sub' Physician

Question: One of the ED physicians at our practice is taking some time off, and a temporary physician will take her place while she's gone. What code should I use to indicate that certain services were performed by the substitute physician? Answer: The general rule, particularly for Medicare and private payers that follow Medicare payment guidelines, is to use modifier Q6 (Service furnished by a locum tenens physician) when billing for substitute, or locum tenens, physicians. Locum tenens reporting guidelines govern all services provided to Medicare patients by a substitute physician. The modifier simply tells the payer that a...

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