Modifiers Flashcards
22
increased procedural services
Modifier 23
unusual anesthesia
Mod 24
unrelated E/M service by same physician (or other qualified healthcare professional) during post-op period
Mod 25
significant, separately identifiable E/M service by same physician (or other qualified healthcare professional) on same day of the procedure or other service
26
professional component
32
mandated services
33
preventive services
Mod 47
anesthesia by surgeon
50
bilateral procedure
51
multiple procedures
52
reduced services
53
discontinued procedure
54
surgical care only
55
POST-op management only
56
PRE-op management only
57
decision for surgery
58
staged or related procedure/service by same physician (or other qualified healthcare professional) during post-op period
59
distinct procedural service
62
2 surgeons
63
procedure performed on infants less than 4 kg
66
surgical team
76
repeat procedure/service by SAME physician (or other qualified healthcare professional)
77
repeat procedure/service by OTHER physician (or other qualified healthcare professional)
78
UNPLANNED RETURN to OR by same physician (or other qualified healthcare professional) after initial procedure for a RELATED procedure during post-op period
79
UNRELATED procedure/service by same physician (or other qualified healthcare professional) during post-op period
80
assistant surgeon
81
minimum assistant surgeon
82
assistant surgeon (when qualified resident surgeon not available)
90
reference (outside) laboratory
91
repeat clinical diagnostic laboratory testing
92
alternative laboratory platform testing
95
synchronous telemedicine service via real-time audio/video system
96
habilitative services
97
REhabilitative services
99
multiple modifiers
P1
normal healthy patient
P2
patient with mild systemic disease
P3
patient with severe systemic disease
P4
patient with severe systemic disease that is constant threat to life
P5
moribund patient not expected to survive without procedure
P6
brain-dead patient whose organs are being removed for donation
LC
left circumflex coronary artery
LD
left anterior descending coronary artery
LM
left main coronary artery
RC
right coronary artery
RI
Ramus intermedius coronary artery