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)