What is the GL modifier?
Asked by: Shanna Raynor | Last update: November 23, 2025Score: 4.6/5 (46 votes)
What is the GP modifier used for?
The GP modifier indicates that a physical therapist's services have been provided. It's commonly used in inpatient and outpatient multidisciplinary settings. It's also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers.
What is the UE modifier?
For example, the “UE” modifier is used when the durable medical equipment (DME) item identified by a HCPCS code is "used equipment," and the “NU” modifier is used to identify "new equipment." For more information on HCPCS Level II codes, refer to HCPCS Level II Coding Process.
What is the GB modifier?
Description. Claim being resubmitted for payment because it is no longer covered under a global payment demonstration. Guidelines and Instructions. This modifier is purely informational for Medicare use and may be submitted with all HCPCS and CPT codes.
What is the GG modifier?
If the additional views are done on the same day as the screening mammogram, the diagnostic study should be reported with the GG modifier, which Medicare uses for tracking purposes. This modifier designates the performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day.
Modifier QW
What is a GL modifier?
GL HCPCS Code - Medically unnecessary upgrade provided instead. Modifiers for HCPCS codes hcpcs-modifiers. Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
What is modifier GV and GW?
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 the GH modifier?
Description. HCPCS modifier GH is used to report a diagnostic mammogram converted from screening mammogram on the same day. Guidelines and Instructions. This modifier may be submitted with CPT codes: 77065 and 77066, and HCPCS codes G0204 and G0206.
What is a GN modifier?
What is the GN Modifier? The GN modifier is a two-character code that is used to indicate that a service was delivered under an outpatient speech-language pathology plan of care.
What is GT modifier used for?
Modifiers in medical billing are two-digit codes used to provide specific details about a procedure or service provided to a patient. A GT modifier is a code used in medical billing to show administration of services through telemedicine.
What is a GD modifier?
GD: Units of service exceeds medically unlikely edit value and represents reasonable and necessary services.
What is the UD modifier?
The UD modifier indicates that the provider determined that the product being billed on the claim detail was purchased pursuant to rights available under Section 340B of the Public Health Act of 1992.
What is a QL modifier?
Providers and suppliers must use the modifier QL (Patient pronounced dead after ambulance called) to indicate the circumstance when an air ambulance takes off to pick up a beneficiary but the beneficiary is pronounced dead before the pickup can be made.
What is the gy modifier used for?
GZ - Item or service expected to be denied as not reasonable and necessary. The GY modifier must be used when physicians, practitioners, or suppliers want to indicate that the item or service is statutorily non-covered or is not a Medicare benefit.
What is the KX modifier?
Use of the KX modifier indicates that the supplier has ensured coverage criteria for the DMEPOS billed is met and that documentation does exist to support the medical necessity of item.
What is the ha modifier?
NOTE: The modifier is used to denote the type of service. 1. HA - Child/Adolescent Program (to be used for all services rendered to a beneficiary under the age of 21)
What does modifier GL mean?
GL - Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no Advance Beneficiary Notice of Noncoverage (ABN)
What is a GR modifier?
GR Modifier.
The GR modifier is defined as: This service was performed in whole or in part by a physician resident at a VA Medical Center or Clinic, supervised in accordance with VA policy.
What is the OT modifier?
OT. GO. Services delivered personally by an occupational therapist or under an outpatient OT POC (plan of care) Modifier GO should only be indicated when submitting PA requests or claims for services rendered by a licensed occupational therapist, a certified OT assistant, or an OT student.
What is the GW modifier for?
GW Modifier
This modifier should be used when a service is rendered to a patient enrolled in a hospice and the service is unrelated to the patient's terminal condition. All providers must submit this modifier when: The service(s) provided are unrelated to the patient's terminal condition.
What is a ch modifier?
When the result is “normal” and there is no impairment, the severity modifier for all three G-codes will be CH, indicating 0% impaired, limited, or restricted function (NOMS Level 7).
What is an LC modifier used for?
HCPCS Modifier LC is used to report the left circumflex coronary artery. This modifier may be submitted with the following CPT codes: 92973. 92978–92979.
What is a JW modifier?
HCPCS code for drug wasted. JW modifier to indicate waste. Number of units wasted. Calculated submitted price for ONLY the amount of drug wasted.
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.
What is the HO and HN modifier?
The HO modifier signifies that the provider has a master's level degree and should only ever be billed if the provider has the appropriate degree level. Similarly, HN indicates a bachelor's degree level and a HP indicates a doctoral degree level.