G1 Most Recent URR of less than 60%
G2 Most Recent URR of 60% to 64.9%
G3 Most Recent URR of 65% to 69.9%
G4 Most Recent URR of 70% to 74.9%
G5 Most Recent URR of 75% or Greater
G6 ESRD Patient for Whom less than 7 Dialysis Sessions have been provided in a Month
GA Waiver of liability on file
GC Service Performed, in part, by a Resident under the Direction of a Teaching Physician
GF non-physician services in a critical access hospital (CAH) electing the All-Inclusive payment method.
GG Performance and payment of screening & diagnostic mammogram same day/same patient
GH Diagnostic mammogram converted to a screening mammogram on the same day
GN Services delivered under an outpatient speech-language pathology
GO Services delivered under an outpatient occupational therapy
GP Services delivered under an outpatient physical therapy
GY Item/Service is statutorily excluded or does not meet the definition of a Medicare benefit
GZ No signed ABN on file
LEVEL II Modifiers G1, G2,G3, G4,G5,G6
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