Modifiers

  1. -22
    Increased procedural services.
  2. -23
    unusual anesthisia.
  3. -24
    unrelated evaluation and management services by the same physician during a postoperative period.
  4. -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.
  5. -26
    Professional component.
  6. -32
    Mandated services.
  7. -47
    Anesthesia by surgeon.
  8. -50 (Approved for Hospital Outpatient Use)
    Bilateral procedure.
  9. -51
    Multiple procedures.
  10. -52 (Approved for Hospital Outpatient Use)
    Reduced services.
  11. -53
    Discontinued procedure.
  12. -54
    Surgical care only.
  13. -55
    Postoperative management only.
  14. -56
    Preoperative management only.
  15. -57
    Decision for surgery.
  16. -58 (Approved for Hospital Outpatient Use)
    Staged or related procedure or servive by the same physician during the postoperative period.
  17. -59 (Approved for Hospital Outpatient Use)
    Distinct procedural service.
  18. -62
    Two surgeons.
  19. -63
    Procedure performed on infants less the 4kgs.
  20. -66
    Surgical team.
  21. -76 (Approved for Hospital Outpatient Use)
    Repeat procedure of service by the same physician or other qualified health care professional.
  22. -77 (Approved for Hospital Outpatient Use)
    Repeat procedure of service by another physician or other qualified health care professional.
  23. -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.
  24. -79 (Approved for Hospital Outpatient Use)
    Unrelated procedure or service by the same physician during the postoperative period.
  25. -80
    Assistant surgeon.
  26. -81
    Minimum assistant surgeon.
  27. -82
    Assistant surgeon (when qualified resident surgeon not available)
  28. -90
    Reference (outside) laboratory.
  29. -91(Approved for Hospital Outpatient Use)
    Repeat clinical diagnostic laboratory test.
  30. -99
    Multiple modifiers.
  31. -27 (Approved for Hospital Outpatient Use)
    Multiple outpatient hospital E/M encounters in the same date.
  32. -73 (Approved for Hospital Outpatient Use)
    Discontinued outpatient procedure PRIOR to anesthesia administration.
  33. -74 (Approved for Hospital Outpatient Use)
    Discontinued outpatient procedure AFTER anesthersia administration.
  34. P1
    A normal healthy patient.
  35. P2
    A patient with mild systemic disease.
  36. P3
    A patient with severe systemic disease.
  37. P4
    A patient with severe systemic disease that is constant threat to life.
  38. P5
    A moribund patient who is not expected to survive without operation.
  39. P6
    A declared brain-dead patient whose organs are being removed for donor purposes.
Author
Cori
ID
165079
Card Set
Modifiers
Description
Modifiers, Anesthesia PS Modifiers
Updated