What is “GW modifier” in medical billing?

GW Modifier in Medical Billing

The GW modifier is used to indicate that a service provided is unrelated to the patient’s terminal illness when the patient is under hospice care.

GW Modifier in Medical Billing Explained

In medical billing, the GW modifier allows healthcare providers to bill Medicare or other payers for services unrelated to the patient’s terminal illness while they are receiving hospice care. This ensures that unrelated services are still covered even though the patient is in hospice.

For example, a patient in hospice care for cancer receives treatment for an unrelated broken arm. The provider uses the GW modifier to bill for the treatment.

Check acronyms and abbreviations in Medical billing glossary.

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