When service may not be or isn’t covered, don’t forget those G’s

Article Overview

This article explains a Medicare billing topic relevant to general surgeons and other providers who report services or supplies that may not be covered. It outlines the general circumstances associated with Medicare’s G-modifiers, the role of beneficiary advance notices, and the type of guidance available from Medicare policy and official resources. The piece is useful for coders, billers, and surgical practices that need to understand when denial-related modifier use may come into play.