Modifier GN

Services delivered under an outpatient speech language pathology plan of care

Correct Use

  • Submit modifier GN to indicate that services were delivered under an outpatient speech language pathology plan of care
  • If additional modifiers are required with service, modifier GN must be submitted in first or second modifier position
  • Exception: Claims from physicians (all specialty codes) and non-physician practitioners, including specialty codes 50, 89, and 97, may be processed without therapy modifiers for sometimes only therapy codes
  • If specialty codes 65 and 67 are on claim and an applicable HCPCS code is without one of the therapy modifiers (GN, GO, GP), claim will be returned as unprocessable

Resource

 

Last Updated Wed, 12 Feb 2020 16:10:15 +0000