tci Part B Insider - 2003 Issue 10

Understand Modifiers for Non-Covered Services

Want to bill Medicare for a service you're sure it's going to deny? You still need to append the correct modifier. Many providers aren't clear on the difference between modifiers -GA and -GY, says Jennifer Darling, insurance and collection specialist with the Center for Oncology Research & Treatment in Dallas. Many servic- are statutorily excluded from Medicare payment, and you don't need a signed advance beneficiary notice (ABN) to bill the patient for these "non-covered services," such as a preventive well-woman exam (CPT 99387 ). In such a case, you should use the -GY modifier, which notifies Medicare...

To read the full article, sign in and subscribe to tci Part B Insider.

Thank you for choosing Find-A-Code, please Sign In to remove ads.