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Hospice Physician Billing

When and how do we use the GV and GW modifiers when billing for patients that are under the care of hospice?

The GV modifier is placed in field 24D on the HCFA 1500 claim form. This is the modifier used when a physician is the Attending Physician for a hospice patient and not associated with the hospice in any way (employed, contracted, or volunteering), but who is providing a service that is related to the diagnosis for which a patient has been enrolled into hospice.

The GW modifier is used when a physician is the Attending Physician for a hospice patient and not associated with the hospice in any way (employed, contracted, or volunteering) who is providing a services that is not related to the diagnosis for which a patient has been enrolled onto hospice. Source: NHPCO NewsBriefs, Volume 6, Issue 41 (October 14, 2004)