HCPCS Ambulance Modifiers

Origin and Destination Modifiers

section notes

Hospital based ESRD facility

section notes
GD   Hospital-based Dialysis Facility to a Diagnostic/therapeutic site other than P/H
GE   Hospital-based Dialysis Facility to a Residential/Domiciliary/Custodial fac.
GG   Hospital-based Dialysis Facility to another Hospital-based Dialysis Facility
GH   Hospital-based Dialysis Facility to a Hospital
GI   Hospital-based Dialysis Facility to a Site of ambulance transport modes transfer
GJ   Hospital-based Dialysis Facility to a Non-Hospital-based Dialysis facility
GN   Hospital-based Dialysis Facility to a Skilled Nursing Facility (SNF)
GP   Hospital-based Dialysis Facility to a Physician's office
GR   Hospital-based Dialysis Facility to a Residence
GS   Hospital-based Dialysis Facility to a Scene of Accident/Acute Event
GX   Hospital-based Dialysis Facility to an Intermediate Stop at Physician's Office
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