| Modifier # |
 |
|
| Modifier description |
|
|
| 22 |
Unusual Procedual Services |
| 23 |
Unusual Anesthesia |
| 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 Componetn |
| 32 |
Mandated Services |
| 47 |
Anesthesia by Surgeon |
| 50 |
Bilateral Procedures |
| 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 During the Postoperative Period |
| 59 |
Distrinct Procedureal Service |
| 62 |
Two Surgeons |
| 63 |
Procedure Performed on Infamts less than 4 kg. |
| 66 |
Surgical Team |
| 76 |
Repeat Procedure by Same Physician |
| 77 |
Repeat Procedure by Another Physician |
| 78 |
Return to the Operating Room for a Related Procedure During the Postoperative Period |
| 79 |
Unrelated Procedure or Service by the Same Physician During the Postoperative Period |
| 80 |
Assisted Surgeons |
| 81 |
Minimum Assistant Surgeons |
| 82 |
Assistant Surgeon (when qualified surgeon no available) |
| 90 |
Reference (Outside) Laboratory |
| 91 |
Repeat Clinical Diagnostic Laboratory Test |
| 99 |
Multiple Modifiers |
| 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 orgins are being removed for donor purposes |
| 27 |
Multiple Outpatient Hospital E/M Encounters on the Same Date |
| 73 |
Discontinued Out-Patitent Hosptial/Amburlatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthisia |
| 74 |
Discontinue Out-Patient Hospital/Ambulatory Surgery Cener (ASC) Procedure After Administration of Anesthesia |
| E1 |
Upper left, eyelid |
| E2 |
Lower left, eyelid |
| E3 |
Upper right, eyelid |
| E4 |
Lower right, eyelid |
| F1 |
Left hand, second digit |
| F2 |
Left hand, third digit |
| F3 |
Left hand, fourth digit |
| F4 |
Left hand, fifth digit |
| F5 |
Right hand, thumb |
| F6 |
Right hand, second digit |
| F7 |
Right hand, third digit |
| F8 |
Right hand, fourth digit |
| F9 |
Right hand, fifth digit |
| FA |
Left hand, thumb |
| GG |
Performance and payment of a screening mammogram and diagnostic mammogram on the smae patient, same day |
| GH |
Diagnostic mammogram converted from screening mammogram on same day day |
| LC |
Left circumflex conronary artery (Hospitals use with code 92980-92984, 92995, 92996 |
| LD |
Left anterior descending coronary artery (Hospitals use with codes 92980-92984, 92995, 92996 |
| 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 |
| RC |
Right coronary artery (hopsital use with codes 92980-92984, 92995, 92996 |
| RT |
Right side (used to identify procedures performed on the right side of the body |
| T1 |
Left foot, second digit |
| T2 |
Left foot, third digit |
| T3 |
Left foot, fourth digit |
| T4 |
Left foot, fifth digit |
| T5 |
Right foot, great toe |
| T6 |
Right foot, second digit |
| T7 |
Right foot, third digit |
| T8 |
Right foot, fourth digit |
| T9 |
Right foot, fifth digit |
| TA |
Left foot, great |
Ch.18 LTI-MA 509
