CPT modifiers
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81 Terms
22
increased procedural services
23
unusual anesthesia
24
unrelated evaluation and management services by the same physician or other qualified health care professional during a postoperative period
25
significant, separately identifiable 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
32
mandated services
33
preventative services
47
anesthesia by surgeon
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 or other qualified health care professional during the postoperative period
59
distinct procedural service
62
two surgeons
63
procedure performed on infants <4kg (8.8lbs)
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 during the postoperative period
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 assisted 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
93
synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system
95
synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system
96
habilitative services
97
rehabilitative services
99
multiple modifiers
1P
performance measure exclusion modifier due to medical reasons
2P
performance measure exclusion modifier due to patient reasons
3P
performance measure exclusion modifier due to system reasons
8P
performance measure reporting modifier-action not performed, reason not otherwise specified
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
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
GG
performance and payment of a screen mammogram and diagnostic mammogram on the same patient, same day
GH
diagnostic mammogram converted from screen mammogram on the same day
LC
left circumflex coronary artery
LD
left anterior descending coronary artery
LM
left main coronary artery
LT
left side (used to identify procedures performed on the left side of the body)
QM
ambulance service provided under arrangement by a provider of services
QN
ambulance service furnished directly by a provider of services
RC
right coronary arteries
RI
ramus intermedius coronary artery
RT
right side (used to identify procedures performed on the right side of the body)
TA
left foot, great toe
T1
left food, 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