GE HCPCS Level II modifier: This service has been performed by a resident without the presence of a teaching physician under the primary care exception

GE is a HCPCS Level II modifier: “This service has been performed by a resident without the presence of a teaching physician under the primary care exception.” It adds this detail to the code it is reported with.

Official description

GE

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

Short description: Resident prim care exception

HCPCS · United States

Medicare details

The indicators CMS publishes with GE in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage: Special coverage instructions apply
Added: Jan 1, 1997

Where GE sits

1GroupHCPCS modifiers
2Modifier GEThis service has been performed by a resident without the presence of a teaching physician under the primary care exception

Source and release

Data release: HCPCS Level II · October 2026
Effective date: Oct 1, 2026
Publisher: CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See GE in the CMS source

Frequently asked questions

What does HCPCS code GE mean?

GE is the HCPCS code for “This service has been performed by a resident without the presence of a teaching physician under the primary care exception” in CMS’s HCPCS Level II October 2026 release.

Where is GE in the HCPCS Level II list?

GE is listed under Modifiers.

Does Medicare cover GE?

CMS lists GE’s Medicare coverage as “Special coverage instructions apply”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

All modifiers

G8Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure G9Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition GAWaiver of liability statement issued as required by payer policy, individual case GBClaim being re-submitted for payment because it is no longer covered under a global payment demonstration GCThis service has been performed in part by a resident under the direction of a teaching physician GDUnits of service exceeds medically unlikely edit value and represents reasonable and necessary services GFNon-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant…GGPerformance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day GHDiagnostic mammogram converted from screening mammogram on same day GJ"opt out" physician or practitioner emergency or urgent service GKReasonable and necessary item/service associated with a ga or gz modifier GLMedically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)