CPT Modifiers

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Author:
ambirc
ID:
215323
Filename:
CPT Modifiers
Updated:
2013-04-23 12:52:34
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Modifers CPT Coding
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Description:
Modifers CPT Coding
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  1. Modifier 25
    Significant, Seperatly Identifiable E/M Service by the Same Physician on the Same Day of a Procedure or Other Service
  2. Modifer 27
    Multiple Outpatient Hospital E/M Encounters
  3. Modifer 50
    Bilateral Procedures
  4. Modifer 52
    Reduces Services
  5. Modifer 58
    Staged or related Procedures or Service by the Same Phsysican During the Post-Op period
  6. Modifier 59
    Distinct Procedural Service
  7. Modifier 73
    Discountinued Outpatient Hospital/ASC Procedure Prior to the Administration of Anesthesia
  8. Modifier 74
    Discountinued Outpatient Hospital/ASC Procedure AFTER the administration of Anesthesia
  9. Modifer 76
    Repeat Procedure by the Same Physician
  10. Modifer 77
    Repeat Procedure by another physician
  11. Modifer 78
    Return to OR for a related procedure during the postoperative period
  12. Modifer 79
    Unrelated procedure or service by the same physican during the postoperative period
  13. Modifer 91
    Repeat Clinical Diagnostic Laboratory Test
  14. Modifer 22
    Unusual Procedural Services - Reported to identify that the service provided was greater than normally required for a particular procedure
  15. Modifer 26
    Professional Componet - Physician interperts the results and/or operates the equipment
  16. TC
    Technical Componet - Owner of the equipment used in the procedure/service
  17. Modifier 33
    Preventive Services - Physician use only, do not use if preventive is in the descriptor
  18. Modifier 47
    Anesthia by Surgen - physician use only - not with anesthesia codes 00100-01999
  19. Modifier 53
    Physician Only - discontinued Procedure
  20. Modifier 54
    Surgical Care only - physician use only
  21. Modifier 55
    Postoperative Management Only - Physician only
  22. Modifier 56
    Preoperative Management Only - physician only
  23. Modifier 62
    Two surgeons or Co-surgeons work together as primary surgeons each performing distinct parts of the procedure physician only
  24. Modifer 63
    • Procedure performed on Infants less than 4 kg
    • not to be used with E/M codes, anesthesia, radiology, path/lab and medicine sectons
  25. Modifer 66
    Surgical Team - Physican Only -
  26. Modifier 80
    Assistant Surgeon - entire time
  27. Modifier 81
    Minimum Assistant Surgeon - not the entire time
  28. Modifier 82
    Assistant Surgeon (when Qualified resident surgeon not available)
  29. E1
    Upper left eye
  30. E2
    Lower Left Eye
  31. E3
    Upper Right eyelid
  32. E3
    Upper Right eyelid
  33. E4
    Lower Right Eyelid
  34. Left Hand
    • FA: Thumb
    • F1: Second digit
    • F2: Third Digit
    • F3: Forth Digit
    • F4: Fifth Digit
  35. Right hand
    • F5: Thumb
    • F6: Second digit
    • F7: Third Digit
    • F8: Fourth Digit
    • F9: Fifth Digit
  36. Left Foot
    • TA: Great Toe
    • T1: Second digit
    • T2: Third Digit
    • T3: Forth Digit
    • T4: Fifth Digit
  37. Right Foot
    • T5: Thumb
    • T6: Second digit
    • T7: Third Digit
    • T8: Fourth Digit
    • T9: Fifth Digit

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