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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
GC
This service has been performed in part by a resident under the direction of a teaching physician
 
GD
Units of service exceeds medically unlikely edit value and represents reasonable and necessary services
 
GE
This service has been performed by a resident without the presence of a teaching physician under the primary care exception
 
GF
Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
 
GG
Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
 
GH
Diagnostic mammogram converted from screening mammogram on same day
 
GJ
"opt out" physician or practitioner emergency or urgent service
 
GK
Reasonable and necessary item/service associated with a ga or gz modifier
 
GL
Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
 
GM
Multiple patients on one ambulance trip
 
GN
Services delivered under an outpatient speech language pathology plan of care
 
GO
Services delivered under an outpatient occupational therapy plan of care
 
GP
Services delivered under an outpatient physical therapy plan of care
 
GQ
Via asynchronous telecommunications system
 
GR
This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
 
GS
Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
 
GT
Via interactive audio and video telecommunication systems
 
GU
Waiver of liability statement issued as required by payer policy, routine notice
 
GV
Attending physician not employed or paid under arrangement by the patient's hospice provider
 
GW
Service not related to the hospice patient's terminal condition
 
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