Miranda Modifiers
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| -22 | Increased Procedural Service (triggers an audit)
Indicates services significantly greater than usual
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| -23 | Unusual Anesthesia
Use of anesthesia where no anesthesia or local would be the norm, Only used with anesthesia codes
Highly agitated senile patient
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| -24 | Unrelated E/M Services by Same Physician or other qualified health care professional during a postoperative global period
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| -25 | Significant, Separately Identifiable E/M service, by the same physician or other qualified health care professional and same day of procedure or other service
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| -26 | Professional Component
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| -32 | Mandated service
Mandated by payer, workers’ comp or official body.
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| -33 | Preventive Services
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| -47 | Anesthesia by Surgeon
Physician administers regional or general anesthesia and Only used with Surgery codes
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| -50 | Bilateral Procedure
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| -51 | Multiple Procedure-Three Types
Same procedure, different sites
Multiple operation (s), Same operative session
Procedure Performed Multiple Times
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| -52 | Reduced Services
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| -53 | Discontinued Procedure
Surgical/diagnostic procedures, Started then stopped due to patient’s condition
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| -54 | Surgical Care Only
Physician provides only procedure (intraoperative)
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| -55 | Postoperative Management Only
Physician provides care only after hospital discharge
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| -56 | Preoperative Management only
Physician provided only preoperative care
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| -57 | Decision for surgery used with
E/M, 99201-99499
Medicine, 92012-92014 ophthalmologic services
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| -58 | Staged/Related Procedure/Service by Same Physician or Other Qualified Health Care Professional During Postoperative Period
Subsequent procedure planned or related to the first surgery
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| -59 | Distinct Procedural service
Different session or encounter, procedure, and/or site
Separate incision, excision, lesion, injury
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| -62 | Two surgeons
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| -63 | Procedure performed on infants less than 4kg
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| -66 | Surgical team
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| -77 | Repeat Procedure/Service by Another Physician or Other Qualified Health Care Professional
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| -78 | Unplanned Return to Operating/Procedure Room Same Physician Following Initial Procedure for a Related Procedure During Postoperative Period
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| -79 | 79 Unrelated Procedure or Service by Same Physician or Other Qualified Health Care Professional During Postoperative Period
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| -80/-81 | Assistant and Minimum Assistant Surgeons
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| -82 | Assistant Surgeon
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| -90 | Reference (outside) Laboratory
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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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