An Overview of Primary Care Exception and the GE Modifier
There is a primary care exception for residency programs who qualify and there are different rules for reporting these services with the GE modifier. CodingIntel provides detailed information on this topic, as well as other resident modifiers.
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.
This primary care exception allows residents who have been in residency for longer than six months to see patients in a primary care practice under the supervision of the TP, but without the requirement that the TP see each patient. The primary care center must attest in writing.