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Wiki Difference beterrn GT and 95 modifiers

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nwhite123

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Can you clarify what the difference is between the GT and 95 modifier? The descriptions seem so similar and some insurances say bill 95 or GT.

Thank you!
 
I just realized I misspelled between in the label...I am sorry! 🤦‍♀️
Thank you! What do you do when they give you the option between 95 or GT? I do not understand why they would do that but many do so I just want to make sure I am selecting the correct modifier.
 
It depends on the carrier. Medicare guidance is -95, and most carriers are following that same guidance. We are using -95 unless the carrier guidance is specifically to use -GT.
 
Yep, I was told GT modifier by bigger carriers like BCBS, Tricare, and Aetna. But, was told to use the 95 modifier by smaller companies like Benefit Management.
 
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