top of page

Modifier

  • 22 Increased Procedural Services

  • 23 Unusual Anesthesia

  • 24 Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period

  • 25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service

  • 26 Professional Component

  • 32 Mandated Services

  • 33 Preventive Services

  • 47 Anesthesia by Surgeon

  • 50 Bilateral Procedure

  • 51 Multiple Procedures

  • 52 Reduced Services

  • 53 Discontinued Procedure

  • 54 Surgical Care Only

  • 55 Postoperative Management Only

  • 56 Preoperative Management Only

  • 57 Decision for Surgery

  • 58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period

  • 59 Distinct Procedural Service

  • 62 Two Surgeons

  • 63 Procedure Performed on Infants less than 4 kg

  • 66 Surgical Team

  • 76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional

  • 77 Repeat Procedure by Another Physician or Other Qualified Health Care Professional

  • 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period

  • 79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period

  • 80 Assistant Surgeon

  • 81 Minimum Assistant Surgeon

  • 82 Assistant Surgeon (when qualified resident surgeon not available)

  • 90 Reference (Outside) Laboratory

  • 91 Repeat Clinical Diagnostic Laboratory Test

  • 92 Alternative Laboratory Platform Testing

  • 95 Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System

  • 96 Habilitative Services

  • 97 Rehabilitative Services

  • 99 Multiple Modifiers

Anesthesia Physical Status Modifier

  • P1 A normal healthy patient

  • P2 A patient with mild systemic disease

  • P3 A patient with severe systemic disease

  • P4 A patient with severe systemic disease that is a constant threat to life

  • P5 A moribund patient who is not expected to survive without the operation

  • P6 A declared brain-dead patient whose organs are being removed for donor purposes

Hosptial Outpatient use Modifier (Level 1 CPT)

  • 25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service.

  • 27 Multiple Outpatient Hospital E/M Encounters on the Same Date

  • 33 Preventive Services

  • 50 Bilateral Procedure

  • 52 Reduced Services

  • 58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period

  • 59 Distinct Procedural Service

  • 73 Discontinued Outpatient Procedure Prior to Anesthesia Administration

  • 74 Discontinued Outpatient Procedure After Anesthesia Administration

  • 76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional

  • 77 Repeat Procedure by Another Physician or Other Qualified Health Care Professional

  • 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period

  • 79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period

  • 91 Repeat Clinical Diagnostic Laboratory Test

Anatomical Modifier (Level 2 HCPCS)

​​​​Eyelid Modifier

  • E1 Upper left, eyelid

  • E2 Lower left, eyelid

  • E3 Upper right, eyelid

  • E4 Lower right, eyelid

  • FA Left hand, thumb

  • F1 Left hand, second digit (Index Finger)

  • F2 Left hand, third digit (Middle Finger)

  • F3 Left hand, fourth digit (Ring Finger)

  • F4 Left hand, fifth digit (Little Finger)

  • F5 Right hand, thumb

  • F6 Right hand, second digit (Index Finger)

  • F7 Right hand, third digit (Middle Finger)

  • F8 Right hand, fourth digit (Ring Finger)

  • F9 Right hand, fifth digit (Little Finger)

  • GG Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day

  • GH Diagnostic mammogram converted from screening mammogram on same day

Coronary artery

  • LC Left circumflex coronary artery

  • LD Left anterior descending coronary artery

  • LM Left main coronary artery

  • RC Right coronary artery

  • RI Ramus intermedius coronary artery

  • RT Right side (used to identify procedures performed on the right side of the body)

  • LT Left side (used to identify procedures performed on the left side of the body)

  • QM Ambulance service provided under arrangement by a provider of services

  • QN Ambulance service furnished directly by a provider of services

Foot

  • TA Left foot, great toe

  • T1 Left foot, second digit (Lesser toe)

  • T2 Left foot, third digit (Lesser toe)

  • T3 Left foot, fourth digit (Lesser toe)

  • T4 Left foot, fifth digit (Lesser toe)

  • T5 Right foot, great toe

  • T6 Right foot, second digit (Lesser toe)

  • T7 Right foot, third digit (Lesser toe)

  • T8 Right foot, fourth digit (Lesser toe)

  • T9 Right foot, fifth digit (Lesser toe)

© 2022 Copyright By Medycoding.com

| All Right Reserved

bottom of page