Chapter 6 HCPCS, Alpha/Numeric Modifiers, Abbreviations
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A Codes | Transportation codes (A0021-A0999), medical and surgical supplies (A4206-A8004), and administrative, miscellaneous and investigational services, equipment, and supplies (A9150-A9999)
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B Codes | Enteral and parenteral therapy (B4000-B9999)
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C Codes | Temporary codes for use with Outpatient Prospective Payment System (OPPS) (pass through) (C1300-C9899)
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E Codes | Durable Medical Equipment (E0100-E8002)
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G Codes | Procedures /professional services (temporary) (G0008-G9156)
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H Codes | Temporary national codes for governmental entities other than Medicare (H0001-H2037)
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J Codes | Drugs administered other than oral method (J0120-J8499) and Chemotherapy drugs (J8501-J9999)
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K Codes | Assigned to DME MAC (K0000-K0899)
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L Codes | Orthotic procedures and devices (L0000-L4999) and prosthetic procedures (L5000-L9900)
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M Codes | Medical Services (M0000-M0301)
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P Codes | Pathology and Laboratory Services (P0000-P9999)
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Q Codes | Procedures, Services, and supplies on a temporary basis (Q0035-Q9968)
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R Codes | Diagnostic radiology services (R0000-R9999)
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S Codes | Temporarily national codes (non Medicare) (S0000-S9999)
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T Codes | National codes established for state Medicaid agencies (T1000-T9999)
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V Codes | Vision Services (V0000-V2999) and hearing, which also includes speech-language pathology service (V5000-V5999)
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IA | Intra-arterial Administration - Administration of the drug is given within an artery.
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IV | Intravenous administration - Administration of the drug is given into the vein.
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IM | Intramuscular administration - Administration of the drug via an injection into a muscle.
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IT | Intrathecal - Administration of the drug is given into the subdural space of the spinal cord.
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SC | Subcutaneous administration - Administration of the drug via an injection just under the skin.
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INH | Administration by inhaled solution - Administration of the drug by breathing it.
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VAR | Various routes of administration - Administration of the drug by various routes commonly administered into joints, cavities, tissues, or topical applications
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OTH | Other routes of administration - other administration methods like suppositories or catheter injections.
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ORAL | Administered orally - Administration of the drug via taking it by mouth.
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Medicare Carriers Manual (MCM) References | Includes the Coverage Issue Manual (CIM) references, the Medicare Carriers Manual references contain CMS regulations and rulings concerning coverage procedures, services, and supplies.
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Medicare Statutes | The appendix covers statutory coverage issues (eg, 1862 [42 U.S.C. 1395y] (a)(1)(A)-(21), Exclusions from coverage and Medicare as Secondary Payer).
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E1 | Upper left, eyelid
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F5 | Right hand, thumb
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ET | Emergency services
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GM | Multiple patients on one ambulance trip
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HF | Substance abuse program
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RC | Right coronary artery
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Q6 | Service furnished by a locum tenens physician
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D | Diagnostic or therapeutic site other then "P" or "H" when these codes are used as origin codes
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E | Residential, domiciliary, custodial facility (other than an 1819 facility)
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G | Hospital-based ESRD facility (hospital or hospital related)
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H | Hospital
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I | Site of transfer (eg. airport or helicopter pad between modes of ambulance transport)
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J | Freestanding ESRD facility
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N | Skilled nursing facility (SNF) (1819 facility)
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P | Physician's office
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R | Residence
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S | Scene of accident or acute event
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X | (Destination code only) Intermediate stop at physician's office on the way to the hospital.
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HH | Ambulance trip from discharge/transfer from one hospital to another hospital
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RH | Ambulance trip from the patient's residence to a hospital
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SH | Ambulance trip from scene of accident to a hospital
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RP | Ambulance trip from the patient's residence to a physician's office
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Transportation Services including Ambulance For Ground | Basic life support (BLS); Advanced life support, Level 1 (ALS1); Advanced life support, Level 2 (ALS2); Specialty care transport (SCT); Paramedic ALS intercept (P1)
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Transportation Services including Ambulance For AIR | Fixed wing air ambulance (FW); Rotary wing air ambulance (RW)
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A0422 | Ambulance (ALS or BLS) oxygen and oxygen supplies, life-sustaining situation.
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A0433 | Advanced life support, level 2 (ALS2)
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A0434 | Specialty care transport (SCT)
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22 | Increased Procedural Service
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23 | Unusual Anesthesia
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24 | Unrelated E/M by the same Physician or Other qualified healthcare professional during a postoperative period
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25 | Significant, Separately Identifiable E/M service by the same Physician or Other Qualified Healthcare Professional on the same date of the procedure or other service.
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26 | Professional Component
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32 | Mandated Service
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47 | Anesthesia by Surgeon
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50 | Bilateral Procedure
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51 | Multiple Procedures
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52 | Reduced Services
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53 | Discontinued Procedure
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54 | Surgical Care Only
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55 | Postoperative Management only
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56 | Preoperative Management Only
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57 | Decision for Surgery
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58 | Staged or related procedure or service by the same physician or other qualified healthcare professional during the postoperative period.
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59 | Dental Procedural Service
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62 | Two Surgeons
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63 | Procedure performed on Infants less than 4 kg
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66 | Surgical Team
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76 | Repeat procedure or service by same Physician or Other qualified healthcare professional
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77 | Repeat procedure by Another Physician or Other Qualified Healthcare Professional.
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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.
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79 | Unrelated Procedure/Service by the Same Physician or Other qualified healthcare professional during the postoperative period
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80 | Assistant Surgeon
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81 | Minimum Assistant Surgeon
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82 | Assistant Surgeon (when qualified resident surgeon not available)
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90 | Reference (Outside) Labratory
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91 | Repeat Clinical Diagnostic Laboratory Test
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92 | Alternative Laboratory Platform Testing
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99 | Multiple Modifiers
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BO | Orally Administered Nutrition, Not by feeding tube
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E2 | Lower Left Eyelid
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F1 | Left Hand, Second Digit
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GA | Waiver of Liability Statement Issued as a Required by Payer, Policy, Individual Case
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GU | Waiver of Liability Statement Issued as a Required by Payer Policy, Routine Notice
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LT | Left Side
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NU | New Equipment
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Q6 | Service Furnished by a Locum Tenens Physician
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TC | Technical Component
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