Modifiers
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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Modifier 22 | Increased procedural services
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Modifier 23 | Unusual anesthesia
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Modifier 24 | Unrelated evaluation and management service by the same physician during a postoperative period
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Modifier 25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service
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Modifier 26 | Professional component(when only the interpretation of the results and or operation of the equipment is performed)
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Modifier 32 | Mandated services
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Modifier 47 | Anesthesia by surgeon
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Modifier 50 | Bilateral procedure
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Modifier 51 | Multiple procedures
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Modifier 52 | Reduced services
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Modifier 53 | Discontinued procedure( used to report the elective cancellation of a procedure before the induction of anesthesia and or surgical preparation in operating suite.)
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Modifier 54 | Surgical care only
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Modifier 55 | Postoperative management only
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Modifier 56 | Preoperative management only
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Modifier 57 | Decision for surgery(An E/M service that resulted in the initial decision to perform the surgery )
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Modifier 58 | Staged or related procedure or service by the same physician during the postoperative period
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Modifier 59 | Distinct procedural service
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Modifier 62 | Two surgeons
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Modifier 63 | Procedure performed on infants less than 4 kgs
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Modifier 66 | Surgical team
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Modifier 76 | Repeat procedure or service by same physician or other qualified health care professional
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Modifier 77 | Repeat procedure or service by another physician or other qualified health care professional
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Modifier 78 | Unplanned return to the operation procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period
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Modifier 79 | unrelated procedure or service by the same physician during the postoperative period
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Modifier 80 | Assistant surgeon
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Modifier 81 | Minimum assistant surgeon
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Modifier 90 | reference (outside) laboratory
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Modifier 91 | repeat clinical diagnostic laboratory test
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Modifier 99 | Multiple modifiers
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P1 | A normal healthy patient
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P2 | A patient with mild systemic disease
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P3 | A patient with severe systemic disease
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P4 | A patient with severe systemic disease that is a constant threat to life
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P5 | A moribund patient who is not expected to survive without the operation
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