GZHCPCS Level II

Item or service expected to be denied as not reasonable and necessary

Usage notes
Append when a denial is expected because the service isn't reasonable and necessary, and no ABN was obtained from the patient.
Common mistakes
Using GZ when an ABN actually was obtained — that scenario calls for GA instead, and misreporting it can affect the patient's liability for the charge.

Related modifiers

Frequently asked questions

What does modifier GZ mean?

Item or service expected to be denied as not reasonable and necessary

When do I use modifier GZ?

Append when a denial is expected because the service isn't reasonable and necessary, and no ABN was obtained from the patient.

What's a common mistake with modifier GZ?

Using GZ when an ABN actually was obtained — that scenario calls for GA instead, and misreporting it can affect the patient's liability for the charge.

HCPCS modifier data from CMS. CPT® is a registered trademark of the American Medical Association — CPT modifier descriptions are not included on this site. Always verify codes with authoritative sources before making billing decisions.