Surgical services billed with the ASC facility service modifier SG must be reported as TOS F. The indicator F does not appear on the TOS table because its use is dependent upon the use of the SG modifier. Effective for services on or after January 1, 2008, the SG modifier is no longer applicable for Medicare services. ASC providers should discontinue applying the SG modifier on ASC
The #1 FAQ
Question: For 2008, should ASCs continue to bill the -SG modifier?
Answer: No. For dates of service January 1, 2008, and after, ASCs no longer are required to include the -SG modifier on claims to Medicare. (The Medicare system will identify it as an ASC facility claim from the specialty code “49” on the provider file for the reported PTAN/NPI.
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