The modifier GY is appended to procedure codes for noncovered Medicare services when
A) the item is expected to be denied as not reasonable but there is not a signed ABN.
B) the item is expected to be denied but there is a signed ABN.
C) the item is expected to be paid in full.
D) the item is excluded and an ABN is not required.

Question

Quizplus · Accepted Answer

The modifier GY is used to indicate that the service is excluded from Medicare coverage and an Advance Beneficiary Notice (ABN) is not required. This modifier helps in the billing process to specify that the service is not covered under Medicare, and therefore, the patient is responsible for payment.

The Modifier GY Is Appended to Procedure Codes for Noncovered