CPT Modifiers

-22

Increased procedural services

More time / effort than usual

-23

Unusual anesthesia

Used for procedures typically done without anesthesia

-24

Unrelated E/M by same physician during postoperative period

Patient return with a new condition within this period

-25

Significant, separately identifiable E/M on same day

E/M service above and beyond the procedure performed

-26

Professional component

Only the providers portion ( reading the x-ray)

-32

Mandated service

Services required by a third party ( insurer, court)

-47

Anesthesia by surgeon

When the surgeon administers anesthesia (rare)

-50

Bilateral procedure

Procedure performed on both sides of body

-51

Multiple procedures

Multiple procedures done at once

-52

Reduced services

Procedure partially completed

-53

Discontinued procedure

Stopped due to patient condition (before completion)

-54

Surgical care only

Surgeon only does surgery , not the pre/post op

-55

Post-op management only

Provider only manages post-op care

-56

Preoperative management only

Provider only handles pre-op

-57

Decision for surgery

E/M service led to surgery decision (within 90-day period)

-58

Staged or related procedure

Planned, staged or more extensive follow up surgery

-59

Distinct procedural service

Identifies separate procedures not usually reported together

-62

Two surgeons

Co- surgeons with distinct roles in one procedure

-66

Surgical team

Highly complex procedure requiring multiple providers