List of Modifiers Medical Coding PDF

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List of Modifiers Medical Coding - Summary

Modifiers List in Medical Billing and Coding

ModifierDescription
22Increased Procedural Services
24Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period
25Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
26Professional Component
32Mandated Services
50Bilateral Procedure
51Multiple Procedures
52Reduced Services
53Discontinued Procedure
54Surgical Care Only
55Postoperative Management Only
56Preoperative Management Only
57Decision for Surgery
58Staged or Related Procedure or Service by the Same Physician During the Postoperative Period
59Distinct Procedural Service
62Two Surgeons
63Procedure Performed on Infants less than 4kg
66Surgical Team
76Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
77Repeat Procedure by Another Physician or Other Qualified Health Care Professional
78Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
79Unrelated Procedure or Service by the Same Physician During the Postoperative Period
80Assistant Surgeon
81Minimum Assistant Surgeon
82Assistant Surgeon (when qualified resident surgeon not available)
90Reference (Outside) Laboratory
91Repeat Clinical Diagnostic Laboratory Test
92Alternative Laboratory Platform Testing
95Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System
99Multiple Modifiers
AAAnesthesia Services Performed Personally by Anesthesiologist
ADMedical Supervision by a Physician: More than Four Concurrent Anesthesia Procedures
ASPhysician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
GCThis Service Has Been Performed in Part by a Resident Under the Direction of a Teaching Physician
GEThis Service Has Been Performed by a Resident Without the Presence of a Teaching Physician Under the Primary Care Exception
GQVia Asynchronous Telecommunications System
GTVia Interactive Audio and Video Telecommunications System
GYItem or Service Statutorily Excluded or Does Not Meet the Definition of Any Medicare Benefit
GZItem or Service Expected to Be Denied as Not Reasonable and Necessary
LTLeft Side (used to identify procedures performed on the left side of the body)
RTRight Side (used to identify procedures performed on the right side of the body)
P1A normal healthy patient
P2A patient with mild systemic disease
P3A patient with severe systemic disease
P4A patient with severe systemic disease that is a constant threat to life
P5A moribund patient who is not expected to survive without the operation
P6A declared brain-dead patient whose organs are being removed for donor purposes

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