• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

GC/GE modifiers

Messages
2
Best answers
0
GC/GE Modifiers

Hi,
The GC modifier is to indicate a "service rendered by a Resident or Fellow" and must be entered on the Teaching Physician services rendered in compliance with all the requirements outlined in 100-04, Ch 12, Section 100.1.1.C of the MCM. Physicians billing for TP services using this modifier are verifying that they have been present during the key portions of the service and were immediately available.

The GE modifier indicates that "service is rendered in a Primary Care Exception Site". There are E&M services that a Resident can perform without the presence of a Teaching Physician under the Primary Care Exception. These services are billed with the GE modifier and are limited to specific E&M codes, as outlined in 100-04, Ch 12, Section 100.1.1.C of MCM.

I hope that helps!
Donna De Boer, CPC
 

dnlworden

New
Messages
3
Best answers
0
Ge Modifier

Are you seeing reduction in payment when using the GE modifier? Especially for traditional Medicaid. (Michigan)
 
Top