Question:

What is modifier GG, and when do we report it? Can we report it in either a professional or a hospital setting?

Answer:

Modifier GG has been approved for both professional and hospital outpatient billing. This HCPCS Level II modifier can be used to describe a screening mammogram that is performed in conjunction with a diagnostic mammogram on the same patient on the same date.

Modifier GG Defined:
Consider the following description to gain a clearer understanding of this modifier to use as needed. GG: A screening mammogram is performed. Review of the images while the patient is still at the facility indicates a suspicious lesion that warrants additional imaging. A diagnostic mammogram is then performed (same day). Modifier GG is assigned to the appropriate diagnostic mammogram CPT code (77065, 77066).

This question was answered in our Breast & Bone Density Procedure Coding Guide. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

Facebook
Twitter
LinkedIn

CPT® copyright 2024 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24