What modifier is utilized for a teaching physician when a resident is involved in patient care?

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The use of the GC modifier indicates that the service provided was performed in the presence of a teaching physician, and a resident was involved in the patient care. This modifier is essential in the context of billing for medical services that involve both residents and teaching physicians, as it ensures that the services are recognized as part of a residency training program. The GC modifier designates that the service was provided under the supervision of a teaching physician, which is a requirement for reimbursement in many cases. It helps to clarify the nature of the service rendered and establishes the relationship between the resident, the attending physician, and the patient, thus ensuring that the billing is compliant with Medicare guidelines.

Knowing how the GC modifier functions is vital for proper coding and billing procedures in cardiovascular and thoracic surgery, where the involvement of residents is common.

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