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Urology Coding Alert

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OIG Focuses Its Sights on 'G' Modifiers

Expect extra scrutiny when you use GA, GZ, GY, and GX. When your practice is billing Medicare, and you suspect Medicare will deny the claim, consider an advance beneficiary notice (ABN) and add a “G” modifier to the claim. The problem is misuse of the G modifiers has led to incorrect payments and CMS is now cracking down. OIG Report [...]

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