CPT Modifiers Word Scramble
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Term | Definition |
22 | Increased Procedural Services |
23 | Unusual Anesthesia |
24 | Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period. |
25* | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service. |
26 | Professional Component |
27* | Multiple Outpatient Hospital E/M encounters on the same date. |
32 | Mandated Services |
33 | Preventive Services |
47 | Anesthesia by Surgeon |
50* | Bilateral Procedure |
51 | Multiple Procedures |
52* | Reduced Services |
53 | Discontinued Procedure |
54 | Surgical Care Only |
55 | Postoperative Management Only |
56 | Preoperative Management Only |
57 | Decision for Surgery |
58* | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period. |
59* | Distinct Procedural Service |
62 | Two Surgeons |
63 | Procedure performed on infant less than 4 kgs |
66 | Surgical Team |
73* | Discontinued outpatient procedure prior to anesthesia administration. |
74* | Discontinued outpatient procedure after anesthesia administration. |
76* | Repeat procedure or service by same physician or other qualified health care professional. |
77* | Repeat procedure or service by another physician or other qualified health care professional. |
78* | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period. |
79* | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period. |
80 | Assistant Surgeon |
81 | Minimum Assistant Surgeon |
82 | Assistant Surgeon (when qualified resident surgeon not available) |
90 | Reference (outside) Laboratory |
91 | Repeat clinical diagnostic laboratory test. |
92 | Alternative laboratory platform testing. |
99 | Multiple Modifiers |
P1 | A normal healthy patient |
P2 | A patient with mild systemic disease |
P3 | A patient with severe systemic disease. |
P4 | A patient with severe systemic disease that is a constant threat to life. |
P5 | A moribund patient who is not expected to survive without the operation. |
P6 | A declared brain-dead patient whose organs are being removed for donor purposes. |
LT** | Left Side |
RT** | Right Side |
AI** | Principal physician of record |
BL** | Special acquisition of blood and blood products. |
CA** | Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission. |
CR** | Catastrophe/disaster related |
E1** | Upper left, eyelid |
E2** | Lower left, eyelid |
E3** | Upper right, eyelid |
E4** | Lower right, eyelid |
FA** | Left hand, thumb |
F1** | Left hand, second digit |
F2** | Left hand, third digit |
F3** | Left hand, fourth digit |
F4** | Left hand, fifth digit |
F5** | Right hand, thumb |
F6** | Right hand, second digit |
F7** | Right hand, third digit |
F8** | Right hand, fourth digit |
F9** | Right hand, fifth digit |
FB** | Item provided without cost to provider, supplier or practitioner, or full credit received for replacement device. |
FC** | Partial credit received for replacement device. |
GA** | Waiver of liability statement on file |
GG** | Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day. |
GH** | Diagnostic mammogram converted from screening mammogram on same day. |
LC** | Left circumflex, coronary artery. |
LD** | Left anterior descending coronary artery. |
RC** | Right coronary artery |
Q0** | Investigational clinical service provided in a clinical research study that is in an approved clinical research study. |
Q1** | Routine clinical service provided in a clinical research study that is in an approved clinical research study. |
QM** | Ambulance service provided under arrangement by a provider of services. |
QN** | Ambulance service furnished directly by a provider of services. |
TA** | Left foot, great toe |
T1** | Left foot, second digit |
T2** | Left foot, third digit |
T3** | Left foot, fourth digit |
T4** | Left foot, fifth digit |
T5** | Right foot, great toe |
T6** | Right foot, second digit |
T7** | Right foot, third digit |
T8** | Right foot, fourth digit |
T9** | Right foot, fifth digit |
AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery |
1P | Performance Measure Exclusion Modifier due to Medical Reasons |
2P | Performance Measure Exclusion Modifier due to Patient Reasons |
3P | Performance Measure Exclusion Modifier due to System Reasons |
8P | Performance measure reporting modifier-action not performed, reason not otherwise specified |
Created by:
Laura Duncan
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