Modifiers Flashcards
What are modifiers?
Two digit codes used to modify the code without changing the description
Types of modifiers
HCPCS
CPT
Features of HCPCS modifiers
Two alpha characters
One alpha and one numeric
CPT modifiers
Two digits
Modifirer for Surgical care
54
Post operative management
55
Preoperative management
56
58
Staged or related procedure,by same same physician or qualified professional during post operative period
78
Unplanned return following initial procedure,post operative
79
Unrelated procedure post operative
24
Unrelated e/m during post operative
25
Minor procedure with e/m
22
Services required to perform the procedure significantly greater than usually reported with the procedure
50
Bilateral procedure
51
Multiple procedure -more than one procedure at the same session
59
Distinct procedure service - procedures not reported normally together. Different sessions
Different procedure
Different site
62
2 surgeons as primary
66
Surgical team- complex procedure,diff specialities
80
Assistant surgeon for the full procedure or substantial part
81
Assistant surgeon for a short time
82
Assistant surgeon when qualified resident surgeon is not available. In teaching hospitals- house surgeon
26
Professional component
TC
Technical component
90
Reference outside lab . Ip patient, sample collected in hospital,send to outside lab
91
Repeat diagnostic lab test
92
Alternative lab platform test.Eg using hiv test kit in labs
23
Unusual anaesthesia
47
Anaesthesia by surgeon
32
Mandated service
33
Preventing service
93
Telephone
95
Telemedicine
97
Rehabilitation services
96
Habilitative
