Most common modifiers Flashcards

(71 cards)

1
Q

-22

A

increased procedural service (typically overused)

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2
Q

-23

A

unusual anesthesia (general anesthesia was used when local/regional would’ve normally been used) *only assigned w/ Anesthesia

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3
Q

-24

A

unrelated E/M service by the same physician or other qualified health care professional during a postoperative period *only used with E/M codes

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4
Q

-25

A

significant separately identifiable E/M service by the same physician or other qualified health care professional on the same day or the procedure or service

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5
Q

-26

A

professional component *usually used with radiology

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6
Q

-32

A

mandated service (i.e-rape kit)

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7
Q

-33

A

preventative service

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8
Q

-47

A

anesthesia by surgeon

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9
Q

-50

A

bilateral procedures

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10
Q

-51

A

multiple procedures

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11
Q

-FA

A

left hand, thumb

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12
Q

-F1

A

left hand, second digit

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13
Q

-F2

A

left hand, third digit

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14
Q

-F3

A

left hand, fourth digit

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15
Q

-F4

A

left hand, fifth digit

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16
Q

-F5

A

right hand, thumb

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17
Q

-F6

A

right hand, second digit

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18
Q

-F7

A

right hand, third digit

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19
Q

-F8

A

right hand, fourth digit

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20
Q

-F9

A

right hand, fifth digit

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21
Q

-TA

A

left foot, great toe

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22
Q

-T1

A

left foot, second digit

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23
Q

-T2

A

left foot, third digit

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24
Q

-T3

A

left foot, fourth digit

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24
-T4
left foot, fifth digit
25
-T5
right foot, great toe
26
-T6
right foot, second digit
27
-T7
right foot, third digit
28
-T8
right foot, fourth digit
29
-T9
right foot, fifth digit
30
-52
reduced services (at the direction of the physician) *not assigned with E/M
31
-53
discontinued procedure (stopped because of the patient's status) *not assigned when patient cancels procedure, E/M, any code based on time
32
-54
surgical care only (intraoperative)
33
-55
postoperative management only
34
-56
preoperative management only
35
-57
decision for surgery *reported with E/M; never Surgery
36
-58
staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period
37
-59
distinct procedural service (services usually bundled were provided as separate services) *not coded with E/M
38
-XE
separate encounter
39
-XP
separate practitioner
40
-XS
separate structure
41
-XU
unusual non-overlapping service
42
-62
two surgeons (different specialities)
43
-63
procedure performed on infants less that 4 kg (8.8 lbs) *do not use with Integumentary System
44
-66
surgical team
45
-76
repeat procedure or service by same physician or other qualified health care professional
46
-77
repeat procedure or service by another physician or other qualified health care professional
47
-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
48
-79
unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period
49
-80
assistant surgeon
50
-81
minimum assistant surgeon
51
-82
assistant surgeon (when qualified resident surgeon not available)
52
-91
repeat clinical diagnostic laboratory test *same day
53
-93
synchronous telemedicine service, audio-only
54
-95
synchronous telemedicine service, audio and video
55
E1
upper left, eyelid
56
E2
lower left, eyelid
57
E3
upper right, eyelid
58
E4
lower right, eyelid
59
AA
anesthesia services performed personally by anesthesiologist
60
AD
Medical supervision by a physician: more than four concurrent anesthesia procedures
61
P1
a normal healthy patient
62
P2
a patient with mild systemic disease
63
P3
a patient with severe systemic disease
64
P4
A patient with severe systemic disease that is a constant threat to life
65
P5
A moribund patient who is not expected to survive without the operation
66
P6
A declared brain-dead patient whose organs are being removed for donor purposes
67
QK
Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals
68
QY
Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist
69
QX
CRNA service: with medical direction by a physician
70
QZ
CRNA service: without medical direction by a physician