Modifiers Q7, Q8 & Q9

• Modifiers Q7, Q8 & Q9 are used with podiatry services. Podiatry services include routine foot care and treatment related to the feet and lower limbs of the body.

• Podiatry CPT codes are 11055, 11056, 11057, 11719, 11720, 11721, G0127, and G0247.

• Generally, Medicare does not cover routine foot care but under certain circumstances, routine services are covered when these services are medically necessary.

• Modifiers Q7, Q8 & Q9 are required when reporting medically necessary routine foot care services.

• Reporting of modifiers is based on below conditions,

• Modifier Q7 - One Class A finding
• Modifier Q8 - Two Class B Findings
• Modifier Q9 - One Class B and two Class C findings

Class Findings:

• Class A:

• Non-traumatic amputation of the foot or integral skeletal portion thereof

• Class B:

• Absent posterior tibial pulse
• Absent dorsalis pedis pulse
• Advanced trophic changes (at least three of the following):
• Decrease or absence of hair growth
• Nail thickening
• Skin discoloration
• Thin and shiny skin texture
• Rubor or redness of the skin

• Class C:

• Claudication
• Temperature changes (cold feet)
• Edema
• Paresthesia (abnormal spontaneous sensations in feet)
• Burning

Click Here to see the list of modifiers