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Medicare Patients

  1. Default Medicare patients
    Clearnace Sale
    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. 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. Default
    You would not use the -76 modifier, but correct in using the GA on both codes with an ABN from the bene.

  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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