Wednesday, May 5, 2010

BP, BR, GD, UE AND GA Modifiers

DME MAC Jurisdiction C Modifier


BP -- THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND HAS ELECTED TO PURCHASE THE ITEM. This modifier is used when you have discussed the purchase/rent option with the beneficiary, and the beneficiary has chosen to purchase the DME item.



BR -- THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND HAS ELECTED TO RENT THE ITEM.This modifier is used when you have discussed the purchase/rent option with the beneficiary, and the beneficiary has chosen to rent the DME item.



GD -- UNITS OF SERVICE EXCEEDS MEDICALLY UNLIKELY EDIT VALUE AND REPRESENTS REASONABLE AND NECESSARY SERVICES (EFFECTIVE DATE 1/1/2008)


UE -- USED DURABLE MEDICAL EQUIPMENT PURCHASE.This modifier is used for used DME items that are purchased. When using the UE modifier, you are indicating you have furnished the beneficiary with a used piece of equipment.


GA -- WAIVER OF LIABILITY STATEMENT ON FILE.You must fully execute the Advanced Beneficiary Notice before appending the GA modifier to your claim. In order to have the GA modifier added to your claim after the initial determination, you must submit the ABN in paper to Written Reopenings.

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