22 |
Increased Procedural Services (surgical/procedures codes only) |
24 |
Unrelated evaluation and management service by the same physician during a postoperative period |
25 |
Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service |
26 |
Professional Component Only (separate from technical component) |
50 |
Bilateral Procedure |
51 |
Multiple procedures |
52 |
Partially Reduced/Eliminated Services |
53 |
Discontinued Procedure (professional services only) |
54 |
Surgical Care Only |
55 |
Postoperative Management Only |
57 |
An evaluation and management (E/M) service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service. |
58 |
Staged or Related Procedure or Service During Postoperative Period by Same Physician |
59 |
Distinct Procedural Service |
62 |
Co-Surgeons |
66 |
Team Surgeons – Surgical Team |
73 |
Prior Discontinued Ambulatory Surgical Center (ASC) or Outpatient Hospital |
74 |
After Anesthesia Administration - Discontinued Ambulatory Surgical Center (ASC) or Outpatient Hospital |
76 |
Repeat procedure by same physician |
77 |
Repeat procedure by another physician |
78 |
Return to Operating Room for related surgery during post op period |
79 |
Unrelated procedure or service by same physician during postoperative period |
90 |
Reference (Outside) Laboratory |
91 |
Repeat Clinical Diagnostic Lab Test |
99 |
Multiple Modifiers (same line, same code) |
AI |
Principal Physician of Record |
AY |
Item or service furnished to ESRD patient - not for ESRD treatment |
CR |
Catastrophe/Disaster |
CT |
Computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard |
FS |
Split (or shared) evaluation and management visit |
FT |
Unrelated evaluation and management during post-op global period |
FX |
X-ray taken using film |
FY |
X-ray taken using computed radiography |
GC |
Service has been performed in part by a resident under the direction of a teaching physician |
GJ |
Opt-out physicians billing on an emergency basis for non-contracted patients. |
G0 |
Used to identify telehealth services furnished for purposes of diagnosis, evaluation, or treatment of symptoms of an acute stroke. |
GV |
Attending physician is not employed or paid under agreement by the patient's Hospice provider |
GW |
Condition not related to the patient's terminal condition |
JW |
Drug amount discarded/not administered to any patient |
PD |
Diagnostic or related non diagnostic service within three-day inpatient admit |
PT |
Colorectal cancer screening test; converted to diagnostic test or other procedure./td> |
Q1 |
Routine clinical service provided in a clinical research study that is in an approved clinical research study |
Q0 |
Investigational clinical service provided in a clinical research study that is in an approved clinical research study |
UN |
Two patients served (portable x-ray) |
UP |
Three patients served (portable x-ray) |
UQ |
Four patients served (portable x-ray) |
UR |
Five patients served (portable x-ray) |
US |
Six or more patients served (portable x-ray) |
XE |
Separate encounter, A service that is distinct because it occurred during a separate encounter |
XP |
Separate Practitioner, A service that is distinct because it was performed by a different practitioner |
XS |
Separate Structure, A service that is distinct because it was performed on a separate organ/structure |
XU |
Unusual Non-Overlapping Service, the use of a service that is distinct because it does not overlap usual components of the main service |