Medicare Modifiers
Browse Medicare modifiers used for coverage determinations, compliance requirements, and payer-specific billing scenarios.
G Medicare Modifiers
Waiver of Liability Statement on File
A required waiver of liability statement is on file for a service expected to be denied.
Notice of Liability Issued
A voluntary notice of liability was issued for a non-covered service.
Item or Service Statutorily Excluded
Used when an item or service is statutorily excluded from Medicare coverage
Item or Service Expected to Be Denied as Not Reasonable and Necessary
Used when a provider expects Medicare to deny a service because it is not considered reasonable
Used to identify telehealth services provided through an asynchronous telecommunications system when allowed by payer guidelines
Via Asynchronous Telecommunications System
K Medicare Modifiers
KX
Requirements Specified in the Medical Policy Have Been Met
Indicates medical policy requirements are met and documentation supports coverage and medical necessity for billed services.
Q Medicare Modifiers
QW
CLIA Waived Test
Identifies eligible CLIA-waived laboratory tests performed under simplified federal testing requirements and Medicare billing guidelines
Q6
Service Furnished Under a Fee-for-Time Compensation Arrangement
Identifies services furnished by a qualified substitute physician under an approved fee-for-time compensation arrangement.
Service Furnished Under a Reciprocal Billing Arrangement
Identifies services provided by a substitute physician under a Medicare-approved reciprocal billing arrangement between physicians
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