Most common modifiers Flashcards
-22
increased procedural service (typically overused)
-23
unusual anesthesia (general anesthesia was used when local/regional would’ve normally been used) *only assigned w/ Anesthesia
-24
unrelated E/M service by the same physician or other qualified health care professional during a postoperative period *only used with E/M codes
-25
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
-26
professional component *usually used with radiology
-32
mandated service (i.e-rape kit)
-33
preventative service
-47
anesthesia by surgeon
-50
bilateral procedures
-51
multiple procedures
-FA
left hand, thumb
-F1
left hand, second digit
-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
-TA
left foot, great toe
-T1
left foot, second digit
-T2
left foot, third digit
-T3
left foot, fourth digit
-T4
left foot, fifth digit
-T5
right foot, great toe
-T6
right foot, second digit
-T7
right foot, third digit
-T8
right foot, fourth digit
-T9
right foot, fifth digit
-52
reduced services (at the direction of the physician) *not assigned with E/M
-53
discontinued procedure (stopped because of the patient’s status) *not assigned when patient cancels procedure, E/M, any code based on time
-54
surgical care only (intraoperative)
-55
postoperative management only
-56
preoperative management only
-57
decision for surgery *reported with E/M; never Surgery
-58
staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period
-59
distinct procedural service (services usually bundled were provided as separate services) *not coded with E/M
-XE
separate encounter
-XP
separate practitioner
-XS
separate structure
-XU
unusual non-overlapping service
-62
two surgeons (different specialities)
-63
procedure performed on infants less that 4 kg (8.8 lbs) *do not use with Integumentary System
-66
surgical team
-76
repeat procedure or service by same physician or other qualified health care professional
-77
repeat procedure or service by another physician or other qualified health care professional
-78
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
-79
unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period
-80
assistant surgeon
-81
minimum assistant surgeon
-82
assistant surgeon (when qualified resident surgeon not available)
-91
repeat clinical diagnostic laboratory test *same day
-93
synchronous telemedicine service, audio-only
-95
synchronous telemedicine service, audio and video
E1
upper left, eyelid
E2
lower left, eyelid
E3
upper right, eyelid
E4
lower right, eyelid
AA
anesthesia services performed personally by anesthesiologist
AD
Medical supervision by a physician: more than four concurrent anesthesia procedures
P1
a normal healthy patient
P2
a patient with mild systemic disease
P3
a patient with severe systemic disease
P4
A patient with severe systemic disease that is a constant threat to life
P5
A moribund patient who is not expected to survive without the operation
P6
A declared brain-dead patient whose organs are being removed for donor purposes
QK
Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals
QY
Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist
QX
CRNA service: with medical direction by a physician
QZ
CRNA service: without medical direction by a physician
