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MED 112

CPT

QuestionAnswer
99202–99499 Evaluation & Management (E/M)
00100-01999 Anesthesia
10004-69990 Surgery
70010-79999 Radiology
80047-89398 Pathology & Laboratory
90281-99607 Medicine
0001F-9007F Code II
0042T-0770T Category III
Modifier -25 Significant, separately identifiable E/M (E/M + procedure on SAME DAY)
Modifier -26 Professional Component (Doctor's work/interpretation)
Modifier -50 Bilateral Procedure, when applicable (BOTH SIDES)
Modifier -51 Multiple Procedures, when applicable (MORE THAN ONE)
Modifier -59 Distinct Procedural Service (SEPARATE/UNIQUE - NOT BUNDLED)
Modifier -53 Discontinued procedure (STARTED, THEN STOPPED)
Modifier -73 Procedure cancelled BEFORE anesthesia (BEFORE)
Modifier -74 Started, then stopped AFTER anesthesia (AFTER)
Modifier -TC Technical Component
Modifier -99 Multiple Modifiers
Modifier -52 Reduced service (LESS)
Modifier -58 Staged/related procedure (STAGED/PLANNED)
Modifier -78 Unplanned return to operating room during postop period (COMPLICATION)
Modifier -79 Unrelated procedure during postop period (UNRELATED PROBLEM)
Surgery - Body system Order Integumentary-Musculoskeletal-Respiratory-Cardiovascular-Digestive-Urinary-Male genitalia- Female genitalia-Maternity care & delivery-Endocrine/nervous-eye-auditory
Modifier -76 Repeat procedure by same physician
Modifier -77 Repeat procedure by another physician
Modifier -91 Repeat clinical diagnostic laboratory test for medically necessary reason
Modifier - 22 Increased Procedural Services
Modifier -23 Unusual Anesthesia
Modifier -24 Unrelated E/M service by the same physician or other qualified health care professional during a postoperative period
Modifier - 32 Mandated services
Modifier - 33 Preventive services
Modifier -47 Anesthesia by surgeon
Modifier -54 Surgical care only
Modifier -55 Postoperative management only
Modifier -56 Preoperative management only
Modifier -57 Decision for surgery
Modifier -63 Procedure performed in infants less than 4 kgs
Modifier -66 Surgical team
Modifier -80 Assistant Surgeon
Modifier -81 Minimum Assistant Surgeon
Modifier -82 Assistant Surgeon (when qualified resident surgeon is unavailable)
Modifier -90 Reference (outside) laboratory
Modifier -92 Alternative laboratory platform testing
Modifier -93 Synchronous telemedicine service rendered via telephone or other real time interactive audio-only telecommunication system
Modifier -95 Synchronous telemedicine service rendered via telephone or other real time interactive audio-only telecommunications and video telecommunications system
Modifier -96 Habilitative Services
Modifier -97 Rehabilitative services
Created by: Felicia26
 

 



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