SG Modifier Per Coding Edge Feb. 2008

bella2

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I was just reading the Feb. edition of the Coding Edge, which said to use the SG modifier forbilling Medicare in an ASC. I thought that as of 2008 we weren't supposed to use the SG modifier for Medicare, and other insurance companies. I'm hoping someone has a clear cut answer for this one !!!
Thanks a bunch,
Sandra
 

cconroycpch

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As of 1/1/2008, per CMS guidelines, you are not to bill with the SG modifier for Medicare patients. Most other insurance companies do not want the SG modifier either. There are some Medicaid and Tricare areas that still require the use of the SG modifier. So the bottom line is, for Medicare - no SG modifier. For every other insurance company - need to check with them directly. So much for a uniform bill and billing guidelines.
 

mmendoza

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I would love to get a link or reference for this info. I was unaware of this.

Thanks
 

codegirl0422

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