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CPt Coding Modifiers

Modifiers

TermDefinition
Modifier 22 Increased procedural services
Modifier 23 Unusual anesthesia
Modifier 24 Unrelated evaluation and management service by the same physician during a postoperative period
Modifier 25 Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service
Modifier 26 Professional component(when only the interpretation of the results and or operation of the equipment is performed)
Modifier 32 Mandated services
Modifier 47 Anesthesia by surgeon
Modifier 50 Bilateral procedure
Modifier 51 Multiple procedures
Modifier 52 Reduced services
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.)
Modifier 54 Surgical care only
Modifier 55 Postoperative management only
Modifier 56 Preoperative management only
Modifier 57 Decision for surgery(An E/M service that resulted in the initial decision to perform the surgery )
Modifier 58 Staged or related procedure or service by the same physician during the postoperative period
Modifier 59 Distinct procedural service
Modifier 62 Two surgeons
Modifier 63 Procedure performed on infants less than 4 kgs
Modifier 66 Surgical team
Modifier 76 Repeat procedure or service by same physician or other qualified health care professional
Modifier 77 Repeat procedure or service by another physician or other qualified health care professional
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
Modifier 79 unrelated procedure or service by the same physician during the postoperative period
Modifier 80 Assistant surgeon
Modifier 81 Minimum assistant surgeon
Modifier 90 reference (outside) laboratory
Modifier 91 repeat clinical diagnostic laboratory test
Modifier 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
Created by: rickyduke863