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Anita Reyes Modifier

QuestionAnswer
22 Increased Procedure services: when the work required to provide a service is substantially greater than typically required.
23 Unusual Anesthesia: a procedure which usually requires either no anesthesia or local anesthesia.
24 Unrelated Evaluation and Management services by the same Physician or other qualified Health care professional during a post operarative period.
25 Identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of procedure or other service.
26 Proffesional Component certain procedures are a combination of a physician or other qualified health and care/ professional and technical component.
32 Mandated services :services related to mandated consultation and/or related services
33 Preventive services: when the primary purpose of the service is the delivery of an evidence based service in accordance with a US Preventive Services task force.
47 anesthesia by surgeon : regional or general anesthesia by the surgeon
50 Bilateral Procedure are performed at the same time as a procedure. Should be identified by adding appropriate 5 digit code.
51 Multiple procedures: other than E/M services physical medicine and rehabilitation services or provision of supplies are performed at the same session by the same individual.
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health Care professional.
53 Discontinued procedure -Discontinued Procedure . under certain. Circumstances the physician or other health care professional may elect to terminate a surgical or diagnostic procedure.
54 Surgical Care Only: when one physician or health Care provider performs a surgical procedure and other performs preoperative and/or post operative management.
55 Post operative management only : when 1 physician or other qualified health care professional performed the pretty operative care and evaluation and other performed the surgical procedure.
56 Pre operative management only: when 1 physician or another health care provider performed the surgical procedure.
57 Decision for surgery: an evaluation and management service that resulted in the initial decision to perform the surgery .
58 Staged or related procedure or service by the same physician or other qualified health care professional during the post operative period.
59 Distinct procedural services
62 Two surgeons
63 Procedure performed on infants less than 4kg
66 Surgical team
76 Repeat procedure of service by same physician or other qualified health Care professional
77 Repeat procedure By another physician or another 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 operative period.
79 Unrelated procedure or service by the same physician or other qualified health care professional during the post operative period.
80 Assistant surgeon
81 Minimum assistant surgeon
82 Assistant surgeon (when qualified resident surgeon isn't available)
90 Reference (outside) laboratory when laboratory procedures are performed by a party other than treating or reporting physician or other qualified health care professional.
91 Repeat clinical diagnostic laboratory test In the course of treatment, of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent test results.
92 Alternative laboratory platform testing : when laboratory testing I'd being performed by using a kit or transportable instrument that wholly or in part consists of a single use.
95 Synchronous telemedicine service rendered via a realtime interactive audio and video telecommunications system.
99 Multiple modifiers under circumstances 2 or more modifiers may be necessary to completely delineate a service.
Created by: anita78
 

 



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