What is the GC modifier used for?
Asked by: Jules Haag | Last update: June 26, 2025Score: 4.7/5 (1 votes)
Is GC a modifier?
GC Modifier
This modifier is for informational use only and may be submitted with all procedure codes. If other modifiers also apply, submit the other modifiers first, followed by HCPCS modifier GC.
What is CG modifier used for?
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 for a fellow?
Modifier GC
Append in second modifier field when supervising/teaching anesthesiologist is involved in two concurrent anesthesia cases with one resident (or "fellow"), he/she may bill usual base units and anesthesia time for amount of time present with resident throughout pre, intra and post anesthesia care.
What is the GC modifier for anesthesia?
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.
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What is the GC modifier?
What is the GC modifier and when do I use it? Clarification. ▪ 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.
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 a GS modifier used for?
Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level. This modifier is used for national claims monitoring for ESAs administered in Medicare renal dialysis facilities, so therefore, is not applicable to Part B.
When to use GV and GW modifier?
The GV and GW modifiers are used for Medicare hospice patients. The GV modifier is used to report services related to a patient's hospice care, while the GW modifier is used to report services that are unrelated to the patient's hospice care.
What is CG in healthcare?
Methods: Calculated globulin (CG), derived from the difference between serum total protein and albumin levels, reflects immunoglobulin serum levels and has shown to have a predictive value in the early diagnosis of antibody deficiencies.
When should GP modifier be used?
Use a GP modifier in any case where there could be confusion as to which provider delivered services to a patient, such as in any interdisciplinary therapy setting.
Does G2025 require CG modifier?
For distant site services rendered between January 27th, 2020, and June 30th, 2020, RHCs must bill G2025 with modifier CG. After July 1, RHCs will no longer need modifier CG. Furthermore, modifier 95 is completely optional for all G2025 claims.
What modifier to use with 99213?
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In this case, you may submit codes for both a preventive service (such as 99396) and a regular office visit (such as 99213) by attaching -25 to the office-visit code.
What is GG modifier used for?
HCPCS modifier GG is used to report performance and payment of a screening mammography and diagnostic mammography on the same patient on the same day. Medicare allows additional mammogram films to be performed without an additional order from the treating physician.
When to use GC modifier?
Modifiers GC and GE are used to identify the involvement of a resident in the care of the patient. These modifiers should be used on Medicare and Medicaid patients whenever a resident is involved in the care provided.
When would you use a CG modifier?
You should report modifier CG on one line with a medical and/or a mental health HCPCS code that represents the primary reason for the medically necessary face-to-face visit. This line should have the bundled charges for all services subject to coinsurance and deductible.
Is modifier GC a pricing modifier?
Modifier -GC (which is only for Medicare to my understanding) is an informational code only and does not affect payment. It would be attached to the teaching physician's claim in the situation that the fellow performed part of the surgery (cannot be a "key" portion unless the teaching surgeon is physically present).
What is the difference between GE and GC modifier?
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.
What is the modifier for critical care?
Critical care should be reported with a modifier 25 in these circumstances, although time spent on the procedures cannot be counted toward critical care time.
What is the 59 modifier for anesthesia?
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 one modifier that is not used with anesthesia procedures?
In anesthesia guidelines, the modifier that is not used with anesthesia procedures is the modifier -51 (Multiple Procedures). This is because anesthesia services are not typically subjected to multiple procedure scaling.
What modifier is 77?
CPT Modifier 77 'Repeat procedure by another physician': A physician may need to indicate that he or she repeated a service performed by another physician on the same day.