Description
Attending physician not employed or paid under arrangement by the patient's hospice provider.

Guidelines/Instructions
This modifier must be submitted when a service meets the following conditions, regardless of the type of provider:
  • The service was rendered to a patient enrolled in a hospice
  • If the service was unrelated to the patient's terminal condition, use HCPCS modifier GW instead of GV
  • 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
  • If the service was provided by a physician employed by the hospice, you may not submit this modifier
  • 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

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department


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