Wiki Do we need to use modifier SG?

[goldark1]

Hello,
We are billing for an ASC and trying to verify certain aspects of ASC billing. Does anyone know if modifier SG is used when billing ASC on a HCFA 1500? This modifier is not needed when billing on a UB. Feedback is most appreciated!

Thank you!

 

[Deborah Marsh]

Hi - This modifier seems very payer specific. Medicare Claims Processing Manual, Chap. 26, has this. (https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c26pdf.pdf)

Even so, I've seen some comments that it's best to check the Medicare payer policy.



This thread has a bit of info, too: https://www.aapc.com/discuss/threads/sg-modifier.167570/