What is the GC modifier for anesthesia?

Asked by: Sydni Kuhic  |  Last update: September 27, 2025
Score: 4.4/5 (4 votes)

GC - these services have been performed by a resident under the direction of a teaching physician. The GC modifier is reported by the teaching physician to indicate he/she rendered the service in compliance with the teaching physician requirements in section 9789.18.

What is a GC modifier used for?

If there is no attestation or the supervising provider does not indicated they saw the patient but only read and approved the documented the visit is not billable. So the use of the GC modifier is the assurance that the qualification for a billable service when provided by a resident has been met.

What are the modifiers for anesthesia?

Every anesthesia procedure billed to OWCP must include one of the following anesthesia modifiers: AA, QY, QK, AD, QX or QZ.

What is ICD 10 modifier GC?

A GC Modifier is a modifier added to a CPT code for service(s) performed in part by a resident under the direction of a teaching physician (TP). When should the GC modifier be used? A GC Modifier is used when a resident, under the direction of a teaching physician, is involved in the management and care of a patient.

What payers require a GC modifier?

Government payers (Medi-Cal and Medicare) require the GC modifier to be appended to E/M codes when a resident, under the direction of a teaching physician in an approved teaching program, is involved in the care of a patient.

Medical Coding CPC Review - Anesthesia CPT and Modifiers

26 related questions found

What is the difference between GE and GC billing?

Modifier GC –This service has been performed in part by a Resident under the direction of a Teaching Physician. Modifier GE –This service has been performed by a Resident without the presence of a Teaching Physician under the Primary Care Exception.

Do you use a GC modifier for medical students?

Teaching physicians must identify residents assisting in patient care and services on claims. Claims must follow E/M documentation guidelines. Claims must include the GC modifier on each service unless you provide the service under the primary care exception.

What is the ICD 10 code for GC?

ICD-10 code: A54. 9 Gonococcal infection, unspecified.

What is the modifier code for unusual anesthesia?

Append Modifier 23 to an anesthesia procedure code to indicate that a procedure normally performed under local anesthesia or with a regional block required general anesthesia. Documentation shall support the reason that general anesthesia was required. and amendment of documentation.

What is the 59 modifier used for?

Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.

What is the modifier 22 for anesthesia?

Modifier -22: Increased Procedural Services. This modifier is used to identify a service that requires significantly greater effort, such as increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required, than is usually needed for that procedure.

What is the modifier 23 for anesthesia?

Modifier 23 (Unusual Anesthesia) This modifier describes a procedure usually not requiring anesthesia (either none or local), but due to unusual circumstances, is performed under general anesthesia.

What is the 53 modifier for anesthesia?

Modifier 53 - Discontinued Procedure

Modifier 53 may be added to the procedure code when a procedure is terminated after the induction of anesthesia (e.g. local, regional block(s), or general anesthesia), or after the procedure was started (incision made, intubation started, scope inserted).

When should CG modifier be used?

Modifier CG should be reported only with the medical service HCPCS code that represents the primary reason for the medically necessary face-to-face visit when medical and preventive services are furnished on the same day.

Do you use a GC modifier in critical care?

Modifiers. When a resident is involved in a critical care service with a teaching physician and the teaching physician presence and documentation requirements are met, append modifier -GC (this service has been performed in part by a resident under the direction of a teaching physician).

What is the GC modifier used for?

GC Modifier

Submit this modifier with all services that are performed by a resident in a teaching facility under the direction of a teaching physician. This modifier is for informational use only and may be submitted with all procedure codes.

Which of the following modifiers is often used with anesthesia?

Modifier QX is used by a nurse anesthetist or anesthesiologist assistant when medically directed by a physician anesthesiologist. In such a case, as discussed above, a physician anesthesiologist would submit a corresponding claim for medical direction, either with modifier QK or modifier QY.

How to code anesthesia?

CPT codes 00100-01860 specify “Anesthesia for” followed by a description of surgical intervention. CPT codes 01916-01942 describe anesthesia for radiological procedures. Several CPT codes (01951-01999) describe anesthesia services for burn excision/debridement, obstetrical, and other procedures.

What is the CPT code for GC?

Test Details

If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

What is the ICD-10 code for GC exposure?

Gonococcal infection, unspecified
  • contact Z20.2.
  • exposure to Z20.2.

What is the ICD-10 code for GC throat?

A54. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM A54.

Should I use modifier GT or 95?

The two most commonly used modifiers are the GT modifier for telehealth service rendered via interactive audio and video telecommunications systems, and the 95 modifier for synchronous telemedicine service rendered via a real-time interactive audio and video communications system.

How do I know which modifier to use?

The correct modifier to use is determined by payor preference. There can be instances where a CPT code is further defined by an HCPCS modifier, for example, to describe the side of the body the procedure is performed on, such as left (modifier -LT) or right (modifier -RT).

What is modifier 51 used for?

CPT guidelines explain the 51 modifier should apply when “multiple procedures, other than E/M services, are performed at the same session by the same individual. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s).”