Modifier GW

Condition not related to the patient's terminal condition


  • Submit when a service is rendered to a patient enrolled in a hospice, and service is unrelated to patient's terminal condition
  • All providers must submit this when this condition applies

Claim Coding Example

Patient is on hospice for congestive heart failure and goes to the office for a toe nail trim. The procedure is unrelated. The GW modifier should be added to the CPT for the toe nail trim.



Last Updated Oct 31 , 2022