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INSURANCE MODIFIERS SEARCH:

 
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Insurance Modifiers


Medical coding is the means of getting the "story" out to an insurance company and modifers provide additional information about the service performed. Modifiers often provide justification as to why additional procedures should be paid. Using modifiers can prevent bundling of procedures, however, they should only be used if the chart note justifies it.

The following are descriptions of some commonly used modifiers followed by a broader list. This list is intended as a quick guide. Be sure to consult your CPT code book for more details about modifiers.

Thanks to Janice Humphries of Medical Billing Guide, author of How To Do Medical Billing

You searched for : Insurance Modifiers :

Code : 20
Description : MICROSURGERY
Code : 21
Description : PROLONGED EVALUATION & MANAGEMENT SERVICE
Code : 22
Description : UNUSUAL PROCEDURAL SERVICES
Code : 23
Description : UNUSUAL ANESTHESIA
Code : 24
Description : UNRELATED EVALUATION & MANAGEMENT SERVICE
Code : 25
Description : SIGNIFICANT, SEPARATELY IDENTIFIABLE E/M SERVICE
Code : 26
Description : PROFESSIONAL COMPONENT
Code : 32
Description : MANDATED SERVICES
Code : 47
Description : ANESTHESIA BY SURGEON
Code : 50
Description : BILATERAL PROCEDURE
Code : 51
Description : MULTIPLE PROCEDURES
Code : 52
Description : REDUCED SERVICES
Code : 53
Description : DISCONTINUED PROCEDURE
Code : 54
Description : SURGICAL CARE ONLY
Code : 55
Description : POSTOPERATIVE MANAGEMENT ONLY
Code : 56
Description : PREOPERATIVE MANAGEMENT ONLY
Code : 57
Description : DECISION FOR SURGERY
Code : 58
Description : STAGED OR RELATED PROCEDURE OR SERVICE
Code : 59
Description : DISTINCT PROCEDURAL SERVICE
Code : 62
Description : TWO SURGEONS
Code : 66
Description : SURGICAL TEAM
Code : 73
Description : DISCONTINUED OUT-PATIENT HOSPITAL/AMBULANCE
Code : 74
Description : DISCONTINUED OUT-PATIENT HOSPITAL/AMBULANCE
Code : 76
Description : REPEAT PROCEDURE BY SAME PHYSICIAN
Code : 77
Description : REPEAT PROCEDURE BY ANOTHER PHYSICIAN
Code : 78
Description : RETURN TO THE OPERATING ROOM FOR A RELATED PROCEDURE DURING POSTOP PERIOD
Code : 79
Description : UNRELATED PROCEDURE OR SERVICE BY THE SAME PROVIDER DURING THE POSTOP PERIOD
Code : 80
Description : ASSISTANT SURGEON
Code : 81
Description : MINIMUM ASSISTANT SURGEON
Code : 82
Description : ASSISTANT SURGEON
Code : 90
Description : REFERENCE (OUTSIDE) LABORATORY
Code : 91
Description : REPEAT CLINICAL DIAGNOSTIC LAB TEST
Code : 99
Description : MULTIPLE MODIFIERS
Code : E1
Description : UPPER LEFT, EYELID
Code : E2
Description : LOWER LEFT, EYELID
Code : E3
Description : UPPER RIGHT, EYELID
Code : E4
Description : LOWER RIGHT, EYELID
Code : F1
Description : LEFT HAND, SECOND DIGIT
Code : F2
Description : LEFT HAND, THIRD DIGIT
Code : F3
Description : LEFT HAND, FOURTH DIGIT
Code : F4
Description : LEFT HAND, FIFTH DIGIT
Code : F5
Description : RIGHT HAND, THUMB
Code : F6
Description : RIGHT HAND, SECOND DIGIT
Code : F7
Description : RIGHT HAND, THIRD DIGIT
Code : F8
Description : RIGHT HAND, FOURTH DIGIT
Code : F9
Description : RIGHT HAND, FIFTH DIGIT
Code : FA
Description : LEFT HAND, THUMB
Code : LC
Description : LEFT CIRCUMFLEX CORONARY ARTERY (HOSPITAL)
Code : LD
Description : LEFT ANTERIOR DESCENDING CORONARY ARTERY
Code : LT
Description : LEFT SIDE (USED TO IDENTIFY PROCEDURES P
Code : QM
Description : AMBULANCE SERVICE PROVIDED UNDER ARRANGEMENT BY HOSPITAL
Code : QN
Description : AMBULANCE SERVICE FURNISHED DIRECTLY BY HOSPITAL
Code : RC
Description : RIGHT CORONARY ARTERY
Code : RT
Description : RIGHT SIDE (USED TO IDENTIFY PROCEDURES)
Code : T1
Description : LEFT FOOT, SECOND DIGIT
Code : T2
Description : LEFT FOOT, THIRD DIGIT
Code : T3
Description : LEFT FOOT, FOURTH DIGIT
Code : T4
Description : LEFT FOOT, FIFTH DIGIT


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