Acupuncture: Medicare Statutorily Excluded or Non-covered
We are having an internal discussion regarding the correct modifier to use for acupuncture, which is revolving around whether there is a difference between Statutorily Excluded and Non-covered. The sides are 1) there is an NCD stating acupuncture is not covered, and by virtue of this NCD, it can be considered Statutorily Excluded (requiring a GY); 2) acupuncture is not strictly defined in the billing manual, it is only mentioned as a non-covered, and therefore GY is not appropriate. 3) Statutorily Excluded and Non-covered can both be billed with a GY.
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