unrelated evaluation and management services by the same physician during a postoperative period.
-25 (Approved for Hospital Outpatient Use)
Significant, seperately identifiable E/M service by the same physician on the same day of the procedure or other service.
-26
Professional component.
-32
Mandated services.
-47
Anesthesia by surgeon.
-50 (Approved for Hospital Outpatient Use)
Bilateral procedure.
-51
Multiple procedures.
-52 (Approved for Hospital Outpatient Use)
Reduced services.
-53
Discontinued procedure.
-54
Surgical care only.
-55
Postoperative management only.
-56
Preoperative management only.
-57
Decision for surgery.
-58 (Approved for Hospital Outpatient Use)
Staged or related procedure or servive by the same physician during the postoperative period.
-59 (Approved for Hospital Outpatient Use)
Distinct procedural service.
-62
Two surgeons.
-63
Procedure performed on infants less the 4kgs.
-66
Surgical team.
-76 (Approved for Hospital Outpatient Use)
Repeat procedure of service by the same physician or other qualified health care professional.
-77 (Approved for Hospital Outpatient Use)
Repeat procedure of service by another physician or other qualified health care professional.
-78 (Approved for Hospital Outpatient Use)
Unplanned return to the OR by the same physician or other qualifies health care professional following initial procedure for a related procedure during the postoperative period.
-79 (Approved for Hospital Outpatient Use)
Unrelated procedure or service by the same physician 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(Approved for Hospital Outpatient Use)
Repeat clinical diagnostic laboratory test.
-99
Multiple modifiers.
-27 (Approved for Hospital Outpatient Use)
Multiple outpatient hospital E/M encounters in the same date.
-73 (Approved for Hospital Outpatient Use)
Discontinued outpatient procedure PRIOR to anesthesia administration.
-74 (Approved for Hospital Outpatient Use)
Discontinued outpatient procedure AFTER anesthersia administration.
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 constant threat to life.
P5
A moribund patient who is not expected to survive without operation.
P6
A declared brain-dead patient whose organs are being removed for donor purposes.