AAPC - Back to school
Results 1 to 4 of 4

Thread: SG Modifier Per Coding Edge Feb. 2008

  1. #1

    Question SG Modifier Per Coding Edge Feb. 2008

    AAPC: Back to School
    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,

  2. #2
    Join Date
    Apr 2007
    Palm Beach


    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.

  3. #3
    Join Date
    Apr 2007


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


  4. #4


    ~this is the link for info on ASC, if you go on CMS website, select Medicare and then scroll down, you will see ASC, if you select it, it takes you to the above link. I like it because you can view updated/new transmittals related to just ASC.

    Link you were requesting:
    page 26

    Quote Originally Posted by mmendoza View Post
    I would love to get a link or reference for this info. I was unaware of this.


Similar Threads

  1. 2008 Coding Edge
    By VRcoder29 in forum Medical Coding General Discussion
    Replies: 18
    Last Post: 12-24-2008, 09:14 AM

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?


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.