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2 digit modifiers

cpt codes

21 prolonged evaluation and management services (add to E/M code)
22 unusual procedural services (greater than usually required for procedure)
23 unusual anesthesia (usually requires no anesthesia or local anesthesia but must be done under general anesthesia)
24 unrelated e/m service by same physician during a postoperative period (unrelated to original procedure)
25 significant, separately identifiable e/m by same Dr. same day of proc. or other serv. (e/m required above and beyond the other service provided or beyond the usual pre and postoperative care associated with the procedure performed) diff. dx not required
26 professional component (reported separately from technical component-x-ray, lab, etc.)
32 mandated services (mandated consulation or related services)
47 anesthesia by surgeon (regional or general anesthesia provided by the surgeon-doesn't include local anesthesia)
50 bilateral procedure (performed at the same operative session)
51 multiple procedures (other than e/m, perofrmed at the same session by the same provider, add to additional codes-not primary
52 reduced services (procedure partially reduced or eliminated at the physician's discretion
53 discontinued procedure (physician elects to terminate procedure that was started-not used for elective cancellation of a procedure prior to patient's anesthesia and/or surgical preparation in the operating suite
54 surgical care only (one physician performs surgical procedure and another the pre and/or postoperative care-add to the surgical procedure code
55 postoperative management only (when one physician performed postoperative care and another performed the surgical procedure)
56 preoperative management only (used when one physician performed preoperative care and another performed the surgical procedure)
57 decision for surgery (an e/m service that resulted in decision to perform surgery)
58 staged or related procedure or service by the same physician during the postoperative period 1)planned prospectively 2)more extensive than original procedure 3)for therapy following surgical procedure. not for treatment of problem requiring return to o/r
59 distinct procedural service (distinct or independent from other services performed on same day. identifies procedures not normally reported together (i.e. 2 surguries in the same body area)
62 two surgeons (co-surgeons performing distinct parts of a single reportable procedure, each adds -62 to surgery code, and any associated add-on codes for that porcedure as long as working together as primary surgeons
63 procedure performed on infants of less than 4 kg (increased complexity...may be appended to 200000-69999 range only, not e/m, anesth., radiology, path/lab, or medicine
66 surgical team (highly complex procedure requiring comcomitant services of several physicians. each adds to surgery code
76 repeat procedure by same physician (subsequent to original)
77 repeat procedure by another physician (basic procedure done by another has to be repeated)
78 return to operating room for related procedure during postoperative period
79 unrelated procedure or service by the same physician during the postoperative period
80 assistant surgeon (surgical assistant services)
81 minimum assistant surgeon
82 assistant surgeon (when qualified resident surgeon not available)
90 reference outside laboratory (other than treating or reporting physician)
91 repeat clinical diagnostic laboratory test (same test same day to obtain multiple results)
99 multiple modifiers (necessary to completely delineate a service)
Created by: letzlearn
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