Termination of Pregnancy

90 - Termination of Pregnancy (Rev. 1, 10-01-03) B3-4276.1,.2 Effective for services furnished on or after October 1, 1998, Medicare will cover abortions procedures in the following situations: 1. If the pregnancy is the result of an act or rape or incest; or 2. In the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by the pregnancy itself that would, as certified by a physician, place the woman in danger of death unless an abortion is performed. NOTE: The "G7" modifier must be used with the following CPT codes in order for these services to be covered when the pregnancy resulted from rape or incest, or the pregnancy is certified by a physician as life threatening to the mother: 59840 59841 59850 59851 59852 59855 59856 59857 59866