Results 1 to 10 of 10

Thread: GC modifier in ED

  1. #1
    Join Date
    Apr 2007
    Posts
    12

    Question GC modifier in ED

    Promo: Code Books
    I have been told GC modifier is E&M modifier only? I have found indications that it may also be coded w/procedures? Can someone please clarify for me? (This is for Teaching Hosp ER) Ex: if wound lac is repaired--does GC modifier go on E&M & Wound repair? welzi
    Last edited by welzi; 02-13-2012 at 06:18 PM.

  2. #2
    Join Date
    Apr 2007
    Location
    Montrose, CO
    Posts
    37

    Default

    FYI - It is used with anesthesia codes. Doing some research.

  3. #3
    Join Date
    Apr 2007
    Location
    Des Moines
    Posts
    313

    Default

    The GC modifier is reported by the teaching physician to indicate he/she rendered the
    service in compliance with the teaching physician requirements by Medicare and I listed those below. Never heard of billing the GC with anesthesia codes...only used with E/M. Also, an attestation must be documented in order to bill it.

    For purposes of payment, E/M services billed by teaching physicians require that they
    personally document at least the following:
    That they performed the service or were physically present during the key or
    critical portions of the service when performed by the resident; and
    The participation of the teaching physician in the management of the patient.
    When assigning codes to services billed by teaching physicians, reviewers will combine
    the documentation of both the resident and the teaching physician.
    Documentation by the resident of the presence and participation of the teaching physician
    is not sufficient to establish the presence and participation of the teaching physician.
    On medical review, the combined entries into the medical record by the teaching
    physician and the resident constitute the documentation for the service and together must
    support the medical necessity of the service.

    The teaching physician must document that he/she personally saw the patient and
    participated in the management of the patient. The teaching physician may
    reference the resident's note in lieu of re-documenting the history of present
    illness, exam, medical decision-making, review of systems and/or past
    family/social history provided that the patient's condition has not changed, and the
    teaching physician agrees with the resident's note.
    The teaching physician's note must reflect changes in the patient's condition and
    clinical course that require that the resident's note be amended with further
    information to address the patient‟s condition and course at the time the patient is
    seen personally by the teaching physician.
    The teaching physician‟s bill must reflect the date of service he/she saw the
    patient and his/her personal work of obtaining a history, performing a physical,
    and participating in medical decision-making regardless of whether the
    combination of the teaching physician‟s and resident‟s documentation satisfies
    criteria for a higher level of service. For payment, the composite of the teaching
    physician‟s entry and the resident‟s entry together must support the medical
    necessity of the billed service and the level of the service billed by the teaching
    physician.


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  4. #4

    Default

    I have worked many aspects of teaching hospitals (ER, Rad, OB) and for EVERY service that a Physician overseas a Resident you will bill the CPT with a GC modifier. Whether it be E/M, Anes, OB, Rad, Cardio - doesn't matter! If you have an E&M and wound care and both are done by the resident and overseen by the Physician and the physician notes that he oversaw the residents care of said patient both the E/M and Wound Care cpt would have the GC modifier.
    Go to this link (its the cms manual) and section 100 details the rules and regs and it does include E/M, Surgeries, and Anesthesia
    http://www.cms.gov/manuals/downloads/clm104c12.pdf

  5. #5
    Join Date
    Apr 2007
    Location
    Sacramento, California
    Posts
    20

    Default

    I concur with cblack712.

    The ones we usually deal with (ED pro fee only) are related to E/M, diagnostic (usually EKG - 93010), and therapeutic services (chest tubes, intubation, wound repair, etc.). Each of these types of services have different Teaching Physician attestation requirements.

    Larry
    Compliance Officer
    Synergistic Systems LLC

  6. #6
    Join Date
    Apr 2007
    Location
    Des Moines
    Posts
    313

    Default

    Seriously, do people not read on this forum?
    This link: http://www.cms.gov/manuals/downloads/clm104c12.pdf posted by cblack is exactly the same thing I posted in my response. I was referring to MCCONKEYT that it was used with anesthesia codes as to not confuse welzi who was asking about GC modifier with E/M codes.


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  7. #7
    Join Date
    Apr 2007
    Posts
    1,716

    Default

    babierman, maybe you should re-read the orginial question and your answer.

    The question was can GC be used with procedures or just E/M. The answer you gave was just E/M.

    The modifier is appropriate for procedures as well as E/M if you meet the requirements.

    This modifier is for Medicare and Medicaid. You may have issues with commercial carriers accepting it.

    Laura, CPC, CPMA, CEMC

  8. #8
    Join Date
    Apr 2007
    Location
    Des Moines
    Posts
    313

    Default

    Yep, I re-read both and I understand it and I know residents get credit for all services they did when documented but I guess that means all five of the ED coders have been doing this wrong because we hand write out our ED's and hand them off and we only put the GC on the E/M side. None of us put the GC on any other codes we billed for with the residents. Guess thats how people interpret questions differently when asked depending on how the facility you work for does things. Guess that just means we're doing it wrong and some changes need to be implemented.


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  9. #9
    Join Date
    Apr 2007
    Location
    Salt Lake City
    Posts
    841

    Default

    Really! I thought this was supposed to be discussion forum not a "whos right and whos wrong" forum.
    Jenifer McPolin CPC, CPMA, RCC

  10. #10

    Default Critical Care 99291 99292

    Can the GC modifier be used on critical care codes in the hospital setting? (in patient). I have been coding it if the documentation meets the requirements. I was told it can not be used in the hospital setting. Thanks!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 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?

Login

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.