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CPT

modifiers

TermDefinition
22 Increased Procedural Services when services provided is greater than that usually required for the listed procedure
23 Unusual Anesthesia when a procedure usually requires either no anesthesia or local anesthesia
24 Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Healthcare Professional during a Postoperative Period the physician or other qualified professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason unrelated to the original procedure
25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Healthcare Professional on the Same day of the Procedure or Other Service the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided
26 Professional Component certain procedures are a combination of a physician or other qualified healthcare professional and a technical component
32 Mandated Services services related to mandated consultation and /or related services
47 Anesthesia by Surgeon surgeon or general anesthesia provide by the surgeon may be reported by adding modifier 47 to the basic service
50 Bilateral Procedure bilateral procedures that are performed at the same operative session
51 Multiple Procedures when 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 provider
52 Reduced Services a service or procedure is partially reduced or eliminated at the physician's or other qualified healthcare professionals' discretion
53 Discontinued Procedure the physician or other qualified healthcare professional may elect to terminate a surgical or diagnostic procedure
54 Surgical Care Only when one physician or other qualified healthcare professional performs a surgical procedure and another provides preoperative and/or postoperative management
55 Postoperative Management Only when one physician or other qualified healthcare professional performs the postoperative management and another performed the surgical procedure
56 Preoperative Management Only when one physician or other qualified healthcare professional performs the preoperative care and evaluation and another physician performs the surgical procedure
57 Decision for Surgery an evaluation and management that resulted in the initial decision to perform the surgery
58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Healthcare Professional During Postoperative Period to indicate a procedure or service during the postoperative period was; a) planned prospectively at the time of the original procedure (staged); b) more extensive than the original procedure; or c) for therapy following a diagnostic surgical procedure
59 Distinct Procedural Service to indicate that a procedure or service as distinct or independent from other non-E/M services performed that same day
62 Two Surgeons when two surgeons work together as primary surgeons preforming distinct parts of a procedure
63 Procedure Performed on Infants less than 4 kg procedures performed on neonates and infants, up to a present body weight of 4kg, many involve significantly increase complexity and physician or other qualified healthcare professional work commonly associated with these patients
66 Surgical Team highly complex procedures are carried out under the surgical them concept
76 Repeat Procedure or Service by Same Physician or Other Qualified Healthcare Professional the physician or other qualified healthcare professional may need to indicate that a procedure or service was repeated
77 Repeat Procedure by Another Physician or Other Qualified Healthcare Professional to indicate that a procedure or service performed by another physician or other qualified healthcare professional was repeated
78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Healthcare Professional Following Initial Procedure for a Related Procedure during the Postoperative Period to indicate another procedure was performed during the postoperative period of the initial procedure
79 Unrelated Procedure or Service by the Same Physician or Other Qualified Healthcare Professional During the Postoperative Period the physician or other qualified healthcare professional many need ton indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure
80 Assistant Surgeon surgical surgeon assistant services may be identified
81 Minimum Assistant Surgeon minimum assistant surgeon is called to assist for a limited period of time
82 Assistant Surgeon (when qualified resident surgeon not available) the unavailability of a qualified resident surgeon is a prerequisite for use
90 Reference (Outside) Laboratory when a laboratory procedures are performed by a party other than the treating or reporting physician or other qualified healthcare professional
91 Repeat Clinical Diagnostic Laboratory Test when it may be necessary to repeat the same laboratory test on the same day to obtain subsequent test result
92 Alternative Laboratory Platform Testing when laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists f a single use, disposable analytical chamber
95 Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System codes that have a star symbol when electronic communication is performed using real-time interactive audio and video communications system
99 Multiple Modifiers two or more modifiers may be necessary to delineate completely a service and other applicable modifiers may be listed as part of the service description
Created by: Chazlynn