List of Modifiers Medical Coding PDF

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List of Modifiers Medical Coding

Modifiers List in Medical Billing and Coding

Modifier Description
22 Increased Procedural Services
24 Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period
25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
26 Professional Component
32 Mandated Services
50 Bilateral Procedure
51 Multiple Procedures
52 Reduced Services
53 Discontinued Procedure
54 Surgical Care Only
55 Postoperative Management Only
56 Preoperative Management Only
57 Decision for Surgery
58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period
59 Distinct Procedural Service
62 Two Surgeons
63 Procedure Performed on Infants less than 4kg
66 Surgical Team
76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
77 Repeat Procedure by Another Physician or Other Qualified Health Care Professional
78 Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
79 Unrelated Procedure or Service by the Same Physician During the Postoperative 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 Test
92 Alternative Laboratory Platform Testing
95 Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System
99 Multiple Modifiers
AA Anesthesia Services Performed Personally by Anesthesiologist
AD Medical Supervision by a Physician: More than Four Concurrent Anesthesia Procedures
AS Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
GC This Service Has Been Performed in Part by a Resident Under the Direction of a Teaching Physician
GE This Service Has Been Performed by a Resident Without the Presence of a Teaching Physician Under the Primary Care Exception
GQ Via Asynchronous Telecommunications System
GT Via Interactive Audio and Video Telecommunications System
GY Item or Service Statutorily Excluded or Does Not Meet the Definition of Any Medicare Benefit
GZ Item or Service Expected to Be Denied as Not Reasonable and Necessary
LT Left Side (used to identify procedures performed on the left side of the body)
RT Right Side (used to identify procedures performed on the right side of the body)
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
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List of Modifiers Medical Coding

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