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Thread: Medicare Patients

  1. #1

    Default Medicare patients

    AAPC: Back to School
    Hi, on the Medicare patients we bill a pap Q0091 with the G code. This is for the patients that need a pap screening every two years. We add the modifier
    GA to the G code stating the patient has signed an ABN. On the Q0091 code we are being asked for a modifier. I have checked previous information and it states that the modifier 76 is to be used. The 76 modifier-is for repeat procedure by same physician. It doesn't seem like to correct modifier. Does anyone else have another modifier? Or is this the correct modifier? Please Help

  2. #2

    Default medicare modifiers

    We have always used the -GA on both the G and Q codes when an ABN has been obtained. You should also append a -25 to the preventive or E/M if a visit is also being billed.

  3. #3


    You would not use the -76 modifier, but correct in using the GA on both codes with an ABN from the bene.

  4. #4

    Red face Medicare patients

    Thanks for the information, we will continue billing the G and Q codes and adding the GA modifier to the Q code.

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