cpt modifers

Unusual procedural service

23 Unusual Anesthesia

• day of the procedure or other therapeutic service which has (0-10 day global period).
• A separate diagnosis is not needed. This modifier is used on the E &M service

26 Professional Component

50 Bilateral procedure

51 Multiple Procedures

52 Reduced Services

53 Discontinued Procedure

62 Two surgeons

76 Repeat procedure by same physician:

77 Repeat procedure by another physician

99 Multiple modifiers

mandated services

surgical care only

decission for surgery

78 unplanned Return to the operating room for a related procedure during the postoperative period same dr. or other hcp

• 79 Unrelated procedure or service by the same physician during the postoperative
• period

dc procedure prior to anesthesia

dc procedure after anesthesia

54 surgical care only

staged or related procedure same dr during post op

healthy person 0 units

mild systemic disease 0

pt with severe disease 1 unit

pt with severe systemeic disease that is constant threat to life - 2

moribund pt who is not expected to survive without operation - 3

pt declared brain dead- for organ harvesting - 0

extreme age <1 > 70 1 unit