Teaching Physician – Primary Care Exception

Overview | Primary Care Exception and modifier GE

CMS updated the teaching physician rules in 2019, and this article reflects the change. On April 26, 2019 CMS released Transmittal 4283. The transmittal primarily addresses E/M services, but also amends the section of the manual related to the primary care exception.  The changes to the primary care section were mostly wording updates.

Those rules are explained in the this article. For additional information, see the CodingIntel guide to Teaching Physician Rules.

CodingIntel members can also download the Teaching Physician quick reference guide.

Primary Care Exception (GE Modifier)

Definition of modifier GE:

Service has been performed by a resident without the presence of a teaching physician under the primary care exception.

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