Deluxe item with patient awareness for additional billing

Description

This code is used to bill for a deluxe item that the patient is aware of, which is intended to be billed in conjunction with a basic item. It signifies that the patient has been informed about the additional features or services associated with the deluxe item. Proper documentation is essential to justify the use of this code alongside the basic item code for accurate reimbursement.

Top Modifiers

Graph View

List View

HCPCS/CPT GYItem or service excluded from Medicare benefits(43.75%)

HCPCS/CPT RTRight side procedure modifier(6.25%)

HCPCS/CPT GUWaiver of liability statement issued as required by payer policy(6.25%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(6.25%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)