Wiki Modifier GP

[belinda@bcbilling.com]

I am new billing therapy codes and had a question regarding Modifier GP. when billing codes 97110, 97112, 97032, 97530 should I always use Modifier GP (especially for Medicare) regardless of the therapy being done by a therapist or the physician himself? Also, is there another modifier I should be using if I bill 97032, 97530, 97112 and 97110 on the same claim?

Thank you!

 

[smonahan]

From my understanding the GP modifier simply indicates the services are delivered under an outpatient physical therapy plan of care, where alternatively, the GN modifier indicates services delivered are under an outpatient speech-language pathology plan of care.

Guidelines would still need to be followed on which provider would bill services.