There continues to be a lot of debate/discussion on the appropriate ways to utilize the Q6 modifier. Nearly everyone at some time or another can benefit from using the Q6 modifier but its misuse can cause serious issues. Remember that commercial payers do not always recognize the Q6 modifier. Most Medicare advantage plans adopt the Medicare guidelines but that is not case when it comes to their PPO and HMO products. We have included the Medicare guidelines below which will provide you with a roadmap to properly utilizing the Q6 and Q5 modifier.
Here is the CMS documentation indicating how to properly use the Q6 modifier.
Pages 5-6 Covers the Time Frame Allowable for Billing with Q6 Modifier