HCPCS Modifier GV
Published 04/07/2023
Description
Attending physician not employed or paid under arrangement by the patient's hospice provider.
Guidelines and Instructions
This modifier must be submitted when a service meets the following conditions, regardless of the type of provider:
Attending physician not employed or paid under arrangement by the patient's hospice provider.
Guidelines and Instructions
This modifier must be submitted when a service meets the following conditions, regardless of the type of provider:
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The service was rendered to a patient enrolled in a hospice
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If the service was unrelated to the patient's terminal condition, use HCPCS modifier GW instead of GV
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The service was provided by a physician or nonphysician practitioner identified as the patient's attending physician at the time of that patient's enrollment in the hospice program
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If the service was provided by a physician employed by the hospice, you may not submit this modifier
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If the service was provided by a physician not employed by the hospice and the physician was not identified by the beneficiary as his/her attending physician, you may not submit this modifier
References
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CMS Pub. 100-02, Chapter 9 (PDF, 260 KB)
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CMS Pub. 100-04, Chapter 11, Section 40 (PDF, 464 KB)