What is gp modifier?

The GP modifier is a two-character code used in medical billing and coding to indicate that a service was provided by a physician or practitioner in the field of general practice. This modifier is typically added to procedure codes to show that the service was performed by a general practitioner, family practitioner, or internal medicine practitioner.

The GP modifier is important because it helps insurance companies determine whether a provider is eligible for reimbursement for the service provided. If an insurance company requires a referral from a primary care physician before covering a specialist service, the GP modifier can indicate that the service provider is qualified to perform the service.

When the GP modifier is used, the reimbursement rate for the service may be higher than for the same service provided by a non-GP practitioner. This is because general practitioners are often seen as the first line of defense in managing their patient's healthcare needs.

In summary, the GP modifier is a coding system used to indicate that a service was provided by a general practitioner, family practitioner, or internal medicine practitioner. It is used in medical billing and coding to help insurance companies determine eligibility for reimbursement and to provide more accurate billing information.