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GY modifier

  1. Default GY modifier
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    Hi All,

    Please guide me about modifier GY when & why it should be appended.
    frequently am getting denials for L-codes(orthotics) for DMERC insurace as missing modifier.
    I think i can apply GY to that L-codes.

    Please share your knowledge & correct me if i am wrong.


    Thanks In Advance
    Kokila.V CPC

  2. #2
    Default
    Here we go. Straight from CMS

    https://www.cms.gov/Regulations-and-...ds/R2148CP.pdf


    Pay attention to: The GY modifier must be used when physicians, practitioners, or suppliers want to indicate that the item or service is statutorily non-covered or is not a Medicare benefit.

    Hope this helps:
    - Josh
    Joshua Caillouet - CPC, CASCC

    “In the midst of chaos, there is also opportunity”

  3. Default GY modifier
    Thanks for the GY modifier explanation!!!
    Is it possible to use GY for all insurance carriers?

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