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.
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