AAPC - Back to school
Results 1 to 2 of 2

Thread: GY modifier/ABN

  1. #1

    Default GY modifier/ABN

    AAPC: Back to School
    If a Medicare patient comes in for an E/M visit with diagnosis and at that time the physician orders a urinalysis for screening purposes only, can you append modifier GY and not do an ABN?

    Thanks for any help

  2. #2
    Join Date
    Apr 2007
    New Port Richey & Gulf to Bay

    Default Modifiers GA, GY, GX, GZ

    I think their is NCD for Urinalysis. Therefore I believe you would append -GA if an ABN had been signed. In no ABN has been signed, then you would use modifier -GZ. If the claim is statutorily excluded, you should append modifier -GY. Modifier -GX is used when a voluntary ABN is issued, when it is not required.

Similar Threads

  1. Abn
    By nc_coder in forum Medicare Regulations
    Replies: 1
    Last Post: 04-29-2013, 01:12 PM
  2. ABN Modifier
    By Thouvenel in forum Modifiers
    Replies: 0
    Last Post: 09-20-2012, 02:07 PM
  3. ABN modifier
    By amobeen in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 07-02-2010, 04:37 PM

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.