| 22 |
Increased Procedural Services |
| 24 |
Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period |
| 25 |
Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service |
| 26 |
Professional Component |
| 32 |
Mandated Services |
| 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 During the Postoperative Period |
| 59 |
Distinct Procedural Service |
| 62 |
Two Surgeons |
| 63 |
Procedure Performed on Infants less than 4kg |
| 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 |
| 78 |
Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period |
| 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 resident surgeon not available) |
| 90 |
Reference (Outside) Laboratory |
| 91 |
Repeat Clinical Diagnostic Laboratory Test |
| 92 |
Alternative Laboratory Platform Testing |
| 95 |
Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System |
| 99 |
Multiple Modifiers |
| AA |
Anesthesia Services Performed Personally by Anesthesiologist |
| AD |
Medical Supervision by a Physician: More than Four Concurrent Anesthesia Procedures |
| AS |
Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery |
| GC |
This Service Has Been Performed in Part by a Resident Under the Direction of a Teaching Physician |
| GE |
This Service Has Been Performed by a Resident Without the Presence of a Teaching Physician Under the Primary Care Exception |
| GQ |
Via Asynchronous Telecommunications System |
| GT |
Via Interactive Audio and Video Telecommunications System |
| GY |
Item or Service Statutorily Excluded or Does Not Meet the Definition of Any Medicare Benefit |
| GZ |
Item or Service Expected to Be Denied as Not Reasonable and Necessary |
| LT |
Left Side (used to identify procedures performed on the left side of the body) |
| RT |
Right Side (used to identify procedures performed on the right side of the body) |
| 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 |
