In medical coding, modifiers are two digit codes that add additional information to the coded data. For example if a procedure is done on the right hand then then modifier RT can be used along with the code to indicate that the procedure was done on the right side of the body. Similarly there are modifiers for each finger, eyelids, toes, etc.
There are some modifiers that are specific to anesthesia section of CPT and these are called status modifiers. These modifiers are.
AA Anesthesia services performed personally by anesthesiologist
AD Medical supervision by a physician: more than four concurrent anesthesia procedures.
QK Medically directed by a physician: two, three, or four concurrent procedures
QY Anesthesiologist medically directs one CRNA
QX CRNA service: with medical direction by a physician
QZ CRNA service: without medical direction by a physician
Modifiers belonging to surgical section of CPT are:
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 Day of a Procedure or Other Service
57 Decision for Surgery
58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period
59 Distinct Procedural Service
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 by the Same Physician During the Postoperative Period
50 Bilateral Procedure
51 Multiple Procedures
54 Surgical Care Only
55 Postoperative Management Only
62 Two surgeons
66 Surgical Team
73 Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure Prior to the Administration of Anesthesia
74 Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure after Administration of Anesthesia
80 Assistant Surgeon
81 Minimum Assistant Surgeon
82 Assistant Surgeon
22 Increased Procedural Services
26 Professional Component
32 Mandated Services
52 Reduced Services
76 Repeat Procedure or Service by Same Physician
77 Repeat Procedure by Another Physician
90 Reference (Outside) Laboratory
91 Repeat Clinical Diagnostic Laboratory Test
92 Alternative Laboratory Platform Testing
There are some modifiers that are specific to anesthesia section of CPT and these are called status modifiers. These modifiers are.
AA Anesthesia services performed personally by anesthesiologist
AD Medical supervision by a physician: more than four concurrent anesthesia procedures.
QK Medically directed by a physician: two, three, or four concurrent procedures
QY Anesthesiologist medically directs one CRNA
QX CRNA service: with medical direction by a physician
QZ CRNA service: without medical direction by a physician
Modifiers belonging to surgical section of CPT are:
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 Day of a Procedure or Other Service
57 Decision for Surgery
58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period
59 Distinct Procedural Service
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 by the Same Physician During the Postoperative Period
50 Bilateral Procedure
51 Multiple Procedures
54 Surgical Care Only
55 Postoperative Management Only
62 Two surgeons
66 Surgical Team
73 Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure Prior to the Administration of Anesthesia
74 Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure after Administration of Anesthesia
80 Assistant Surgeon
81 Minimum Assistant Surgeon
82 Assistant Surgeon
22 Increased Procedural Services
26 Professional Component
32 Mandated Services
52 Reduced Services
76 Repeat Procedure or Service by Same Physician
77 Repeat Procedure by Another Physician
90 Reference (Outside) Laboratory
91 Repeat Clinical Diagnostic Laboratory Test
92 Alternative Laboratory Platform Testing
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