A modifier indicates that a procedure was altered but its not changed its definition.
Modifiers may be used as follows:
Modifier 21 - Prolonged Evaluation and Management Services (Deleted, please use CPT 99354- 99357)
Modifier 22 - Unusual Procedural Services
Modifier 23 - Unusual Anesthesia
Modifier 24 - Unrelated Evaluation and Management Service by the Same Physician during a Postoperative Period
Modifier -25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
Modifier 26- Professional Component
Modifier 27 - Multiple Outpatient Hospital E/M Encounters on the Same Date
Modifier 32 - Mandated Services
Modifier 47 - Anesthesia by Surgeon
Modifier 50 - Bilateral Procedure
Modifier 51 - Multiple Procedures
Modifier 58 - Related service/procedure was performed by same physician/different physician in same group during post operative period
Modifier 79 - Unrelated service/procedure was performed by same physician/different physician in same group during post operative period
Modifier 76 - Repeat the service/procedure was performed by same physician/different physician in same group during post operative period. It is not necessary to use in same day.
Modifier 77 - Repeat the service/procedure was performed by different physician during post operative period. It is not necessary to use in same day. or service.
Modifier LT - Used to identify procedures performed on the left side of the body.
Modifier RT - Used to identify procedures performed on the right side of the body.
Modifier 52 - Under certain circumstances a service or procedure is partially reduced or eliminated at the physician's discretion.
Modifier 53 - Used to identify a surgical or diagnostic procedure has been discontinued by physician under certain circumstances
Modifier 54 - Use with surgical codes when one physician performs a surgical procedure and another provides preoperative and/or postoperative management.
Modifier 55 - Use with surgical codes when one physician performed the postoperative management and another physician performed the surgical procedure.
Modifier 78 - - Use on surgical codes only to indicate that another procedure was performed during the postoperative period of the initial procedure.
Modifier 80 - Surgical assistant services may be identified by adding the modifier -80 to the usual procedure number(s)
Modifiers may be used as follows:
A service or procedure has both a professional and technical component
A service or procedure was performed by more than one physician
A service or procedure has been increased or reduced
Only part of a service was performed
An additional service was performed
A bilateral procedure was performed more than once
Unusual events occurred Modifier 21 - Prolonged Evaluation and Management Services (Deleted, please use CPT 99354- 99357)
Modifier 22 - Unusual Procedural Services
Modifier 23 - Unusual Anesthesia
Modifier 24 - Unrelated Evaluation and Management Service by the Same Physician during a Postoperative Period
Modifier -25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
Modifier 26- Professional Component
Modifier 27 - Multiple Outpatient Hospital E/M Encounters on the Same Date
Modifier 32 - Mandated Services
Modifier 47 - Anesthesia by Surgeon
Modifier 50 - Bilateral Procedure
Modifier 51 - Multiple Procedures
Modifier 58 - Related service/procedure was performed by same physician/different physician in same group during post operative period
Modifier 79 - Unrelated service/procedure was performed by same physician/different physician in same group during post operative period
Modifier 76 - Repeat the service/procedure was performed by same physician/different physician in same group during post operative period. It is not necessary to use in same day.
Modifier 77 - Repeat the service/procedure was performed by different physician during post operative period. It is not necessary to use in same day. or service.
Modifier LT - Used to identify procedures performed on the left side of the body.
Modifier RT - Used to identify procedures performed on the right side of the body.
Modifier 52 - Under certain circumstances a service or procedure is partially reduced or eliminated at the physician's discretion.
Modifier 53 - Used to identify a surgical or diagnostic procedure has been discontinued by physician under certain circumstances
Modifier 54 - Use with surgical codes when one physician performs a surgical procedure and another provides preoperative and/or postoperative management.
Modifier 55 - Use with surgical codes when one physician performed the postoperative management and another physician performed the surgical procedure.
Modifier 78 - - Use on surgical codes only to indicate that another procedure was performed during the postoperative period of the initial procedure.
Modifier 80 - Surgical assistant services may be identified by adding the modifier -80 to the usual procedure number(s)
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