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Per CMS Billing and Coding Article A57193 and the Novitas LCD L35013, CPT code 11721 is payable under Medicare only when one of three class finding modifier conditions is met and documented: Modifier Q7 : One Class A finding present Modifier Q8 : Two Class B findings present Modifier Q9 : One Class B and two Class C findings present Claims for procedure code 11721 submitted to Medicare without one of these three modifiers, unless billed with modifier GY or modifier GZ , will be denied

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