August 9, 2019
Clinical Decision Support: G-Codes and Modifiers Released
Specific modifiers and G-Codes for claims processing under the Acceptable Use Criteria (AUC)/Clinical Decision Support (CDS) program have been released as of July 26 th. As the Education & Operational Testing period for the program begins January 1 st, 2020, it is important that practices are taking steps to prepare for the program’s full implementation in 2021 in order to avoid negative impacts on reimbursement. Advocate is committed to supporting our clients through this process by providing resources and communication as more information pertaining to the AUC/CDS program is released.

What are the AUC/CDS modifiers and G-codes?

AUC Codes (HCPCS Modifiers)

G-Codes – These indicate which CDSM was consulted, these are to be used in conjunction with HCPCS codes ME, MF, and MG.  
Click here for additional information and resources pertaining to AUC and CDS.

As always, ADVOCATE will keep you up to date on this and all issues impacting radiology as they become available.

Best regards,
Kayley Jaquet
Manager of Regulatory Affairs
About ADVOCATE
ADVOCATE is the leading radiology reimbursement services company that offers a complete and integrated approach to business issues. ADVOCATE operates nationwide with clients in all 50 states providing our unique EBT suite of services to thousands of radiologists. With our seasoned staff of professionals, we focus on addressing the unique needs of today's practicing radiology physicians. With proven management, business processes and advanced technology to support our operations, ADVOCATE has the people and infrastructure to manage the business of radiology effectively and efficiently. With over 20 years of radiology billing experience, and proven measurable results, ADVOCATE works as a trusted and stable business partner to provide clients with a reliable, trouble-free implementation, increased cash flow, training, and support.

ADVOCATE Radiology Billing & Reimbursement Specialists
10567 Sawmill Parkway, Suite 100
Powell, Ohio 43065
Toll Free: 866.722.1655