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  • Posted by 26763, 2 years ago. There are 2 posts. The latest reply is from .
  1. A new patient seen in our medical office is in an in-patient rehab center following a brief hospital stay for hip pain. What modifier do I append to the office visit code and I assume I bill the rehab facility? The visit included injections into the bursa/hip. thank you

  2. Concept on GV modifier with a GW modifier
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    GV Modifier
    The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice and is providing services as a private physician.
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    GW Modifier
    The GW modifier is used when a physician is providing a service that is not related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice and is providing services as a private physician.
    *
    When a patient is under hospice there is a certain diagnosis that was indicated at the beginning of care. If the service the physician renders is unrelated to the terminal illnesses that hospice has on record, Medicare will not reimburse for the service unless it is submitted with the modifier GW. The GW modifier cuts through the Medicare edits and will pay.

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