Modifiers

This section describes modifiers used for HCFA or UB claims.

** Approved for Hospital Outpatient Use Level 1 (CPT)

Modifier	Description
21	Prolonged evaluation and management services
22	Unusual procedural services
23	Unusual anesthesia
24	Unrelated evaluation and management service by the sane physician during a post-operative period.
26	Professional component
27	Multiple OP encounter
32	Mandated services
47	Anesthesia by surgeon
51	Multiple procedures
53	Discontinued procedure
54	Surgical care only
55	Postoperative management only
56	Preoperative management only
57	Decision for surgery
62	Two surgeons
63	Procedure performed on infants
66	Surgical team
73	Discontinued OP proc. prior to anesthesia
74	Discontinued OP proc. after anesthesia
79	Unrelated procedure or service by the same physician during the postoperative period.
80	Assistant surgeon
81	Minimum assistant surgeon
82	Assistant surgeon when qualified surgeon is not available.
90	Reference (outside) laboratory
91	Repeat clinical diagnostic laboratory test
99	Multiple modifiers
25 **	Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other procedure.
50 **	Bilateral procedure
52 **	Reduced services
58 **	Staged or related procedure or service by the same physician during the postoperative period.
59 **	Distinct procedural service
76 **	Repeat procedure by the same physician
77 **	Repeat procedure by the another physician
78 **	Return to the operating room for a related procedure during the postoperative period
TC	Technical Component