Most common modifiers Flashcards

1
Q

-22

A

increased procedural service (typically overused)

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2
Q

-23

A

unusual anesthesia (general anesthesia was used when local/regional would’ve normally been used) *only assigned w/ Anesthesia

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3
Q

-24

A

unrelated E/M service by the same physician or other qualified health care professional during a postoperative period *only used with E/M codes

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4
Q

-25

A

significant separately identifiable E/M service by the same physician or other qualified health care professional on the same day or the procedure or service

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5
Q

-26

A

professional component *usually used with radiology

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6
Q

-32

A

mandated service (i.e-rape kit)

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7
Q

-33

A

preventative service

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8
Q

-47

A

anesthesia by surgeon

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9
Q

-50

A

bilateral procedures

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10
Q

-51

A

multiple procedures

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11
Q

-FA

A

left hand, thumb

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12
Q

-F1

A

left hand, second digit

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13
Q

-F2

A

left hand, third digit

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14
Q

-F3

A

left hand, fourth digit

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15
Q

-F4

A

left hand, fifth digit

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16
Q

-F5

A

right hand, thumb

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17
Q

-F6

A

right hand, second digit

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18
Q

-F7

A

right hand, third digit

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19
Q

-F8

A

right hand, fourth digit

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20
Q

-F9

A

right hand, fifth digit

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21
Q

-TA

A

left foot, great toe

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22
Q

-T1

A

left foot, second digit

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23
Q

-T2

A

left foot, third digit

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24
Q

-T3

A

left foot, fourth digit

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24
Q

-T4

A

left foot, fifth digit

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25
Q

-T5

A

right foot, great toe

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26
Q

-T6

A

right foot, second digit

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27
Q

-T7

A

right foot, third digit

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28
Q

-T8

A

right foot, fourth digit

29
Q

-T9

A

right foot, fifth digit

30
Q

-52

A

reduced services (at the direction of the physician) *not assigned with E/M

31
Q

-53

A

discontinued procedure (stopped because of the patient’s status) *not assigned when patient cancels procedure, E/M, any code based on time

32
Q

-54

A

surgical care only (intraoperative)

33
Q

-55

A

postoperative management only

34
Q

-56

A

preoperative management only

35
Q

-57

A

decision for surgery *reported with E/M; never Surgery

36
Q

-58

A

staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period

37
Q

-59

A

distinct procedural service (services usually bundled were provided as separate services) *not coded with E/M

38
Q

-XE

A

separate encounter

39
Q

-XP

A

separate practitioner

40
Q

-XS

A

separate structure

41
Q

-XU

A

unusual non-overlapping service

42
Q

-62

A

two surgeons (different specialities)

43
Q

-63

A

procedure performed on infants less that 4 kg (8.8 lbs) *do not use with Integumentary System

44
Q

-66

A

surgical team

45
Q

-76

A

repeat procedure or service by same physician or other qualified health care professional

46
Q

-77

A

repeat procedure or service by another physician or other qualified health care professional

47
Q

-78

A

unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period

48
Q

-79

A

unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period

49
Q

-80

A

assistant surgeon

50
Q

-81

A

minimum assistant surgeon

51
Q

-82

A

assistant surgeon (when qualified resident surgeon not available)

52
Q

-91

A

repeat clinical diagnostic laboratory test *same day

53
Q

-93

A

synchronous telemedicine service, audio-only

54
Q

-95

A

synchronous telemedicine service, audio and video

55
Q

E1

A

upper left, eyelid

56
Q

E2

A

lower left, eyelid

57
Q

E3

A

upper right, eyelid

58
Q

E4

A

lower right, eyelid

59
Q

AA

A

anesthesia services performed personally by anesthesiologist

60
Q

AD

A

Medical supervision by a physician: more than four concurrent anesthesia procedures

61
Q

P1

A

a normal healthy patient

62
Q

P2

A

a patient with mild systemic disease

63
Q

P3

A

a patient with severe systemic disease

64
Q

P4

A

A patient with severe systemic disease that is a constant threat to life

65
Q

P5

A

A moribund patient who is not expected to survive without the operation

66
Q

P6

A

A declared brain-dead patient whose organs are being removed for donor purposes

67
Q

QK

A

Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals

68
Q

QY

A

Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist

69
Q

QX

A

CRNA service: with medical direction by a physician

70
Q

QZ

A

CRNA service: without medical direction by a physician