- ModifierDescription
- G0Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke
- G1Most recent urr reading of less than 60
- G2Most recent urr reading of 60 to 64.9
- G3Most recent urr reading of 65 to 69.9
- G4Most recent urr reading of 70 to 74.9
- G5Most recent urr reading of 75 or greater
- G6Esrd patient for whom less than six dialysis sessions have been provided in a month
- G7Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening
- G8Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure
- G9Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition
- GAWaiver of liability statement issued as required by payer policy, individual case
- GBClaim being re-submitted for payment because it is no longer covered under a global payment demonstration
- GCThis service has been performed in part by a resident under the direction of a teaching physician
- GEThis service has been performed by a resident without the presence of a teaching physician under the primary care exception
- GFNon-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
- GGPerformance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
- GHDiagnostic mammogram converted from screening mammogram on same day
- GJ“opt out” physician or practitioner emergency or urgent service
- GKReasonable and necessary item/service associated with a ga or gz modifier
- GLMedically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
- GMMultiple patients on one ambulance trip
- GNServices delivered under an outpatient speech language pathology plan of care
- GOServices delivered under an outpatient occupational therapy plan of care
- GPServices delivered under an outpatient physical therapy plan of care
- GQVia asynchronous telecommunications system
- GRThis service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
- GSDosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
- GTVia interactive audio and video telecommunication systems
- GUWaiver of liability statement issued as required by payer policy, routine notice
- GVAttending physician not employed or paid under arrangement by the patient’s hospice provider
- GWService not related to the hospice patient’s terminal condition
- GXNotice of liability issued, voluntary under payer policy
- GYItem or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
- GZItem or service expected to be denied as not reasonable and necessary