Modifiers Flashcards
22
Increased procedural services
52
Reduced services
91
Repeat clinical diagnostic laboratory test
62
2 surgeons
27
Multiple out patient hospital e/m services on the same day
77
Repeat procedure by another physician or qualified healthcare professional
51
Multiple procedures
78
Unplanned return to operating / procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period
54
Surgical care only
47
Anesthesia by surgeon
F1
Left hand, second digit
TC
Technical component
66
Surgical team
58
Staged or related procedure by same healthcare professional during postoperative period
53
Discontinued procedure
99
Multiple modifiers
25
Significant, separately identifiable e/m service by same health care professional on Same day of procedure or other service
50
Bilateral procedure
E2
Lower left eyelid
55
Postoperative management only
59
Distinct procedural service
57
Decision for surgery
33
Preventative services
E1
Upper left eyelid
E3
Upper right eyelid
E4
Lower right eyelid
FA
Left hand, thumb
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
23
Unable to tolerate without general anesthesia
24
Unrelated evaluation and management service by the same physician or other qualified professional during post operative period
25
Significant separately identifiable e&m service by the same physician or health professional
26
Independent radiologist performed in a hospital
32
Second opinion required by insurance
47
Surgeon administered anesthesia
51
Different procedure, separate from
53
Procedure stopped before completion, no need to complete
56
Pre-op evaluation only, covering for surgeon
57
Decision to perform surgery, will need to go to the OR
58
Return to OR, will proceed with additional services in next procedure
59
Co surgeon shared procedure with
63
Weight, incubator, neonate, newborn
63
Surgical team working together, presence of other surgeon
76
Repeated again, previous
77
Repeated by another physician
78
Complications, had to return to the OR
79
Not related to previous care
80
Assisted, surgeon called in to help
81
Assisted partially, helped with part of the procedure
82
Surgical resident not available
90
Independent lab separate from physician
91
Sequenced a lab tests, repeat lab after four hours
91
Portable kit, disposable
Hcpcs modifier LD
Modifier for procedures involving the left anterior descending coronary artery