When a service is provided to a hospice patient and the service is not related to the patient's terminal condition, the coder should append modifier:

Question

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Modifier GW is used to indicate services not related to the hospice patient's terminal condition. This modifier helps differentiate between services related to the terminal illness (which the hospice benefit covers) and those that are not (which may be billed separately to Medicare or other insurers).

When a Service Is Provided to a Hospice Patient and the Service