CPT & HCPCS Level II Coding Modifiers
Studied by 0 people
Learn
Practice Test
Spaced Repetition
Match
Flashcards1/95
There's no tags or description
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced |
|---|
No study sessions yet.
96 Terms
22
Increased procedural services
23
Unusual anesthesia.
24
Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period.
25
Significant, separately identifiab le evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service.
26
Professional component.
27
Multiple outpatient hospital E/M encounters on the same date.
32
Mandated services.
33
Preventative services.
47
Anesthesia by surgeon.
50
Bilateral procedure.
51
Multiple procedures. (same surgical kit or access hole)
52
Reduced Services
53
Discontinued procedure.
54
Surgical care only.
55
Postoperative care only.
56
Preoperative care only.
57
Decision for 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. (separate surgical kit or access hole)
62
Two surgeons
63
Procedure performed on infants less than 4 kg.
66
Surgical team.
73
Discontinued outpatient procedure prior to anesthesia administration.
74
Discontinued outpatient procedure after anesthesia administration.
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).
90
Reference (outside) laboratory.
91
Repeat clinical diagnostic laboratory test.
92
Alternative laboratory platform testing
99
Multiple modifiers
P1
A normal, healthy, quiet patient.
P2
A patient with mild systemic disease
P3
A patient with severe systemic disease. (documented as severe, uncontrolled, or malignant)
P4
A patient with severe systemic disease that is a constant threat to life. (documentation must say "threat to life")
P5
A moribund (dying) patient who is not expected to survive without the operation.
P6
A declared brain-dead patient whose organs are being removed for donor purposes.
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)
AI
Principal physician of record.
BL
Special acquisition of blood and blood products.
CA
Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission.
CR
Catastrophe/disaster related.
E1
Upper left, eyelid
E2
Lower left, eyelid
E3
Upper right, eyelid
E4
Lower right, eyelid
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
FB
Item provided without cost to provider, supplier, or practitioner, or full credit received for replaced device (examples, but not limited to covered under warranty, replaced due to defect, free samples)
FC
Partial credit received for replaced device
GA
Waiver of liability statement on file
GG
Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
GH
Diagnostic mammogram converted from screening mammogram on same day
LC
Left circumflex, coronary artery
LD
Left anterior descending coronary artery
LM
Left main coronary artery
Q0
Investigational clinical service provided in a clinical research study that is in an approved clinical research study
Q1
Routine clinical service provided in a clinical research study that is in an approved clinical research study
QM
Ambulance service provided under arrangement by a provider of services
QN
Ambulance service furnished directly by a provider of services
RC
Right circumflex, coronary artery
RI
Ramus intermedius coronary artery
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
AA
Anesthesia services performed personally by a physician
AD
Medical supervision by a physician: more than four concurrent anesthesia procedures
QK
Medically directed by a physician: two, three, or four concurrent procedures
QY
Anesthesiologist medically directs one CRNA
QX
CRNA service: with medical direction by a physician
QZ
CRNA service: without medical direction by a physician
QS
Monitored anesthesia care service
99100
Anesthesia for a patient of extreme age, younger than 1 or older than 70.
99116
Anesthesia complicated by utilization of total body hypothermia.
99135
Anesthesia complicated by utilization of controlled hypotension (chemically induced).
99140
Anesthesia complicated by emergency conditions.