tci General Surgery Coding Alert - 2000 Issue 11

Reader Question: Using the -GA Modifier

Question: Can you explain how to correctly use the -GA modifier?Texas Subscriber Answer: Whenever a procedure might not be covered, depending on the diagnosis related to that procedure, Medicare requires an advanced beneficiary notice (ABN) or waiver signed by the patient acknowledging that he or she may have to pay for the procedure if Medicare does not find it medically necessary, says Barbara Cobuzzi, MBA, CPC, CPC-H, an independent coding and reimbursement specialist in Lakewood, N.J. An electrocardiogram or x-ray, for instance, may be covered, depending on the circumstances outlined in the procedure notes (usually related to...

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