AUC Modifiers
What is AUC?
G-Codes for AUC
Easy Peasy
100
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access
What is MB?
100
What insurance requires AUC?
What is Medicare?
100
National Decision Support Company
What is G1004?
100
Other nonspecific abnormal finding of lung field
R91.8
200
The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
What is MG?
200
What does AUC stand for?
What is Appropriate Use Criteria?
200
Stanson
What is G1010?
200
Pain in right knee
M25.561
300
The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
What is ME?
300
CMS will not pay claims that fail to include AUC/CDS documentation starting on what date?
***DAILY DOUBLE***
What is January 1st, 2021?
300
eviCore
What is G1001?
300
76700
Ultrasound, abdominal, real time with image documentation; complete
US Abdomen Complete
400
Unknown if ordering professional consulted a clinical decision support mechanism for this service, related informaƟon was not provided to the furnishing professional or provider
What is MH?
400
What is the electronic tool through which Appropriate Use Criteria is verified?
What is Clinical Decision Support Mechanism (CDSM)?
400
qualified tool not otherwise specified
What is G1011?
400
71046
XR Chest 2 views
500
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship excepƟon of electronic health record or clinical decision support mechanism vendor issues
What is MC?
500
Ordering providers are required to consult a CDSM when ordering what types of exams?
What is MRI, CT, PET, and Nuclear Medicine?
500
Medicalis
What is G1003?
500
Unspecified injury of head, initial encounter
S09.90XA