HCPCS Code Modifiers

HCPCS National Level II Modifiers

section notes

G Modifiers

section notes
G0 Telestroke
G1 Urr reading of less than 60
G2 Urr reading of 60 to 64.9
G3 Urr reading of 65 to 69.9
G4 Urr reading of 70 to 74.9
G5 Urr reading of 75 or greater
G6 Esrd patient <6 dialysis/mth
G7 Payment limits do not apply
G8 Monitored anesthesia care
G9 Mac for at risk patient
GA Liability waiver ind case
GB Claim resubmitted
GC Resident/teaching phys serv
GE Resident prim care exception
GF Nonphysician serv c a hosp
GG Payment screen mam + diagmam
GH Diag mammo to screening mamo
GJ Opt out provider of er srvc
GK Actual item/service ordered
GL Upgraded item, no charge
GM Multiple transports
GN Op speech language service
GO Op occupational therapy serv
GP Op pt services
GQ Telehealth store and forward
GR Service by va resident
GS Epo/darbepoietin reduced 25%
GT Interactivetelecommunication
GU Liability waiver rout notice
GV Attending phys not hospice
GW Service unrelated to term co
GX Voluntary liability notice
GY Statutorily excluded
GZ Not reasonable and necessary
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