AAPC - July Freedom Sale

Page 1 of 2 12 LastLast
Results 1 to 10 of 13

Thread: SG Modifier

  1. #1

    Default SG Modifier

    I just read in the AAPC newsletter that effective 1/1/08, ASCs are no longer supposed to bill with the SG modifier and instead bill with TOS code F.

    Does anyone know if this rule has really been implemented by CMS? The newsletter is the only place that I have heard of this.

    Thanks.

  2. #2

    Default

    yes the sg modifier is no longer to be used, look on the fasa web site for more info also.

  3. #3

    Default

    Thanks for the response. Yes, I have tried to find this on the FASA website but haven't found it yet. I'm not very thrilled with the new format of the FASA website either. It's not anywhere near as user friendly as it used to be.

  4. #4

    Default

    Go to the web site click on Medicare Tab (drop down box click on ASC payment system, then you click on, Click Here for Med Learn Article its on page 10 section 50....I dont understand it..let me know your thoughts.

  5. #5
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
    Posts
    2,046

    Unhappy

    Does this apply to ALL payers or just Medicare?

  6. #6

    Default

    I believe its just Medicare, but I dont understand it. Can you still use the SG modifier, if so why do we need the other? I have not been able to find out why or what the change is for.

  7. #7
    Join Date
    Apr 2007
    Location
    Salt Lake City
    Posts
    75

    Question SG

    Medicare makes the rules for them. As of now, the SG only applies to Medicare, but I'm sure as time goes by, the commercial ins companies will follow suit. Just keep an eye out.

    Gotta love the new status indicator codes eh?!
    codermcdreamy CPC, CPC-H

  8. #8
    Join Date
    Apr 2007
    Location
    Wichita, KS
    Posts
    30

    Smile Sg Modifier

    Quote Originally Posted by johnithomas View Post
    I believe its just Medicare, but I dont understand it. Can you still use the SG modifier, if so why do we need the other? I have not been able to find out why or what the change is for.
    I attended a Kansas Medicare workshop yesterday and asked this same question. Our rep told us we could still use the SG, their system won't reject it, it just doesn't require it any longer. I emailed KS BCBS and that rep told me they still require the SG modifier. Our office has opted to continue the use, it just keeps things more streamlined. (for now anyways)

  9. #9

    Default

    Great news, thanks! I think thats what we will do as well. So then last question, for Medicare are you required to use the TOS - F ?

  10. #10

    Default

    2017 ICD-10-CM Coding Book
    I'm still waiting to see if Medicare pays or denies our claims for 2008. We haven't changed anything in our system yet. I just called the dreaded Medicare automated system and our claims for 01/02/08 are still pending. I'm hoping they just get paid and then we will just leave things alone for now. What a pain.

Page 1 of 2 12 LastLast

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.