Modifier 80 appends for the service when another physician assists at surgery as an “Assistant surgeon.” Summary Modifier 80 is applicable when surgical assistant services need to report on the claim. The assistant at the surgery requires modifiers and payment indicators for reimbursement. An assistant at surgery is the provider who assists the principal physician…

Modifier 62 appends with services when “Two” surgeons perform the surgical procedures. Read on for a full description, billing guidelines and more. Summary Modifier 62 uses to bill for the services of two surgeons when performing the same procedure on the same day on an identical patient during the same encounter. It may require two…

GW Modifier appends with the service when the physician performs unrelated to the hospice patient’s terminal condition.  Summary Modifier GW is used for the services when patients enroll in the hospice and have a life expectancy of 6 months. It is appropriate when the physician performs irrelevant service to the patient’s terminal illness.  The informational…

GV Modifier appends with service when the attending physician may not employ or pay under the arrangement by the patient’s hospice provider.  Summary GV Modifier is used for the service when the patient enrolls in the hospice, and the attending provider(not employed or paid under hospice arrangement) performs the procedure related to the hospice condition. …

GT Modifier appends with the service when the physician performs services via interactive audio and video telecommunication systems. Summary Modifier GT uses for the services when synchronous telemedicine service renders to the patient via interactive audio and video telecommunication systems. There is an exception for demonstrations in Alaska and Hawaii, and all telehealth must be…

HCPCS level II modifiers are used to identify procedure codes that are not included in CPT codes and not covered by list of CPT modifiers. They are used to identify services, supplies or products such durable medical equipment, ambulance services, orthotics, etc. What Are HCPCS Level II Modifiers? As mentioned in the introduction, HCPCS Level…

GP Modifier appends for the services when the physician delivers under an outpatient physical therapy care plan. In this article we discuss the definition of Modifier GP and when it is appropriate to use it in medical coding. GP Modifier Description GP Modifier attaches to the service when the physician or physical therapist provides the…

QW Modifier applies to the services when the Physician performs CLIA waived test. This article covers a full description of Modifier QW and when to use it. QW Modifier Description QW Modifier appends with Physician performs CLIA-waived (Clinical Laboratory Improvement Amendments) test.   The laboratory procedure testing is regulated through CLIA by the Centers for Medicare…

Modifier GY appends to services when the physician performs an item or service statutorily excluded, does not meet the standard definition of any Medicare and non-Medicare insurer, and is non-covered in benefit.   GY Modifier Description GY Modifier appends with the service when the physician performs services or items that are statutorily excluded and do not…

KX Modifier appends with the service, which meets the specified requirements in the policy. KX Modifier Description KX Modifier deals with policy requirements when the physician provides the service which meets all the policy requirements. If the insurance or third-party payer requires additional documentation for the service other than the claim information, efficiently offer them. …