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Abortion Billing

See our Abortion page for benefit information and approval requirements. 

All claims (i.e., the CMS 1450 UB-04 and CMS 1500) must include the following:

  • The G7 modifier, which is defined as the pregnancy resulted from rape or incest, or pregnancy certified by physician as life threatening
  • One of the following condition codes:
    • AA – abortion performed due to rape
    • AB – abortion performed due to incest
    • AD – abortion performed due to life endangering physical condition

View our claims page for more details on submitting claims.