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CMS Pub. 100-04, ch. 20, § 30.6.4

DMEPOS Clinical Trials and Demonstrations

activein force · 2026-08-25 – presentas-observed

The definition of the QR modifier is “item or service has been provided in a Medicare

specified study.” When this modifier is attached to a HCPCS code, it generally means

the service is part of a CMS related clinical trial, demonstration or study.

• The DME MACs shall recognize the “QR” modifier when associated with an

oxygen home therapy clinical trial identified by CMS and sponsored by the National

Heart, Lung & Blood Institute. DME MACs shall pay these claims if the patient’s

arterial oxygen partial measurements are from 56 to 65 mmHg, or whose oxygen

saturation is at or above 89%.

The definition of condition code 30 is “qualified clinical trial.” When this condition code

is reported on a claim, it generally means the service is part of a CMS related clinical

trial, demonstration or study.

The A/B MACs (HHH) shall recognize condition code 30, accompanied by ICD-9-CM

diagnosis code V70.7 or ICD-10 diagnosis code Z00.6, as applicable, in the second

diagnosis code position, when associated with an oxygen home therapy clinical trial

identified by CMS and sponsored by the National Heart, Lung & Blood Institute. A/B

MACs (HHH) shall pay these claims if the patient’s arterial oxygen partial measurements

are from 56 to 65 mmHg, or whose oxygen saturation is at or above 89%.

History

(Rev. 2993, Effective: ASC X12 - 01-01-12, ICD-10 - Upon Implementation of ICD- 10; Implementation: ASC X12 - 08-25-14, ICD-10 - Upon Implementation of ICD- 10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
0d73407cf4c8ebea8460e58ff3c8ea174e7e6e10c165c924030b118733cf3b9c
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CMS Pub. 100-04, ch. 20, § 30.6.4 — DMEPOS Clinical T… · binding.law