our office doesn't use GZ modifier
we bill g0101 and q0091 with a GA modifier if we have a signed waiver. if we do not have a signed waiver we bill these same codes without the GA modifier. If the patient has exceeded their routine benefits Medicare will then deny these codes as a contractual adjustment.
we also bill the 99387 or 99397 codes with modifier 52 and GY. GY tells Medicare that waiver not needed. The patient pays for this part of the well exam not covered by Medicare. You say you carve this part out but write it off? You should collect payment from patient
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