Modifiers
Modifiers
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You can use modifiers to show a specific circumstance alters or modifies a service. The use of a modifier does not change the description of the procedure code. Modifiers provide more information to tell the story of your service.
The proper use of modifiers may allow for faster claims processing. A modifier may allow for increased payment. Improper use can result in rejections or denials. The medical record must support the use of the modifier.
This page includes the most common modifiers. Refer to the CPT and HCPCS coding manuals for a complete list.
General Modifier Information
Informational Only Modifier Fact Sheet
Advance Beneficiary Notice of Non-Coverage Modifiers
See Advance Beneficiary Notice of Noncoverage (ABN)
Advanced Diagnostic Imaging Modifiers
Ambulance Modifiers
See Ambulance Statutory and Billing Requirements
Anesthesia Modifiers
Anesthesia Documentation Modifiers
Anesthesia Physical Status Modifier Fact Sheet
Bilateral Modifiers
Catastrophe/Disaster Modifiers
Cost Sharing Modifiers
Documentation Modifiers
Drug Modifiers
Modifier JW Fact Sheet
Modifier JZ Fact Sheet
Evaluation and Management Modifiers
Modifier 24 Fact Sheet
Modifier 25 Fact Sheet
Modifier 27 Fact Sheet
Modifier FT Fact Sheet
See Correct Billing of Split (Shared) Services for modifier FS information.
Laboratory Modifiers
Modifier 91 Fact Sheet
Modifier QW Fact Sheet
Mental Health Modifiers
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
National Correct Coding Initiative Modifiers
Modifier 59 Fact Sheet
Modifier XE Fact Sheet
Modifier XP Fact Sheet
Modifier XS Fact Sheet
Modifier XU Fact Sheet
Outpatient Hospital
Preventive Care
Rural Health Clinic Modifiers
Rural Health Clinic (RHC) Report Requirement - Modifier CG
Statutory Exclusion Modifiers
Excluded Services and Providers
Surgery Modifiers
Assistant at Surgery Modifier Fact Sheet
Modifier 24 Fact Sheet
Telehealth Services Modifiers
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Therapy Modifiers
General Modifier Information
Informational Only Modifier Fact Sheet
Advance Beneficiary Notice of Non-Coverage Modifiers
See Advance Beneficiary Notice of Noncoverage (ABN)
Advanced Diagnostic Imaging Modifiers
Ambulance Modifiers
See Ambulance Statutory and Billing Requirements
Anesthesia Modifiers
Anesthesia Documentation Modifiers
Anesthesia Physical Status Modifier Fact Sheet
Bilateral Modifiers
Catastrophe/Disaster Modifiers
Cost Sharing Modifiers
Documentation Modifiers
Drug Modifiers
Modifier JW Fact Sheet
Modifier JZ Fact Sheet
Evaluation and Management Modifiers
Modifier 24 Fact Sheet
Modifier 25 Fact Sheet
Modifier 27 Fact Sheet
Modifier FT Fact Sheet
See Correct Billing of Split (Shared) Services for modifier FS information.
Laboratory Modifiers
Modifier 91 Fact Sheet
Modifier QW Fact Sheet
Mental Health Modifiers
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
National Correct Coding Initiative Modifiers
Modifier 59 Fact Sheet
Modifier XE Fact Sheet
Modifier XP Fact Sheet
Modifier XS Fact Sheet
Modifier XU Fact Sheet
Outpatient Hospital
Preventive Care
Rural Health Clinic Modifiers
Rural Health Clinic (RHC) Report Requirement - Modifier CG
Statutory Exclusion Modifiers
Excluded Services and Providers
Surgery Modifiers
Assistant at Surgery Modifier Fact Sheet
Modifier 24 Fact Sheet
Telehealth Services Modifiers
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Therapy Modifiers
General Modifier Information
Introduction to Modifiers
Informational Only Modifier Fact Sheet
Pricing Modifier Fact Sheet
Advance Beneficiary Notice of Non-Coverage Modifiers
See Advance Beneficiary Notice of Noncoverage (ABN)
Advanced Diagnostic Imaging Modifiers
Ambulance Modifiers
See Ambulance Statutory and Billing Requirements
Ambulatory Surgical Center Modifiers
Modifier 74 Fact Sheet
Modifier SG Fact Sheet
Anesthesia Modifiers
Anesthesia Documentation Modifiers
Anesthesia Physical Status Modifier Fact Sheet
Modifier 23 Fact Sheet
Modifier 47 Fact Sheet
Modifier QS Fact Sheet
Bilateral Modifiers
Modifier 50 Fact Sheet
Modifier LT Fact Sheet
Modifier RT Fact Sheet
Cardiovascular Modifiers
Modifier LC Fact Sheet
Modifier LD Fact Sheet
Modifier LM Fact Sheet
Modifier RI Fact Sheet
Catastrophe/Disaster Modifiers
Chiropractic Modifiers
Clinical Research Study Modifiers
Modifier Q0 Fact Sheet
Modifier Q1 Fact Sheet
Cost Sharing Modifiers
Diagnostic Procedure Modifiers
Eye Lid Modifiers Fact Sheet
Modifier 51 Fact Sheet
Modifier PT Fact Sheet
Digit (Finger/Toe) Modifiers
Finger Modifier Fact Sheet
Toe Modifier Fact Sheet
Discontinued Procedure Modifiers
Documentation Modifiers
Clarification on the Use of Modifier 22
Modifier 22 Fact Sheet
Modifier 52 Fact Sheet
Modifier 53 Fact Sheet
Modifier 62 Fact Sheet
Modifier 66 Fact Sheet
Modifier KX Fact Sheet
Drug Modifiers
Modifier JW Fact Sheet
Modifier JZ Fact Sheet
End Stage Renal Disease Modifiers
Evaluation and Management Modifiers
Modifier 24 Fact Sheet
Modifier 25 Fact Sheet
Modifier 57 Fact Sheet
Modifier FT Fact Sheet
See Correct Billing of Split (Shared) Services for modifier FS information.
Fee-For-Time Compensation Arrangements Modifiers
Fee-for-Service (FFS) Time Compensation Criteria
Foot Care Modifiers
Class Findings Modifier Fact Sheet
Hospice Modifiers
See Billing Services During a Hospice Election
Incarcerated Beneficiary Modifiers
Medicare Beneficiaries in State or Local Custody
Incentive Program Modifiers
Initial Inpatient Hospital/Nursing Facility Modifiers
Laboratory Modifiers
Modifier 90 Fact Sheet
Modifier 91 Fact Sheet
Modifier 92 Fact Sheet
Modifier LR Fact Sheet
Modifier QW Fact Sheet
Mammogram Modifiers
Mandated Services Modifiers
Modifier 32 - Mandated Services
Mental Health Modifiers
Modifier AH Fact Sheet
Modifier AJ Fact Sheet
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Multiple Modifiers
National Correct Coding Initiative Modifiers
Billing Modifier 59 with Procedure Codes 93451 and 93505
Common Claim Denials
Modifier 59 Fact Sheet
Modifier RC Fact Sheet
Modifier XE Fact Sheet
Modifier XP Fact Sheet
Modifier XS Fact Sheet
Modifier XU Fact Sheet
Opt Out Modifiers
See Claims for Professionals Opting Out of Medicare
Outpatient Services/Inpatient Admission Modifiers
Preventive Care
Procedure Code Change Modifiers (Used by MAC)
Professional Component Modifiers
Quality Payment Program Modifiers
Patient Relationship Modifier Fact Sheet
Radiology Modifiers
FDG PET Imaging Modifier Fact Sheet
Reciprocal Billing Modifiers
Repeat Procedure Modifiers
Modifier 76 Fact Sheet
Modifier 77 Fact Sheet
Resident Modifiers
Modifier GC Fact Sheet
Modifier GE Fact Sheet
Statutory Exclusion Modifiers
Excluded Services and Providers
Surgery Modifiers
Assistant at Surgery Modifier Fact Sheet
Bundling Denials
Eye Lid Modifiers Fact Sheet
Live Kidney Donor Services
Modifier 24 Fact Sheet
Modifier 47 Fact Sheet
Modifier 51 Fact Sheet
Modifier 54 Fact Sheet
Modifier 55 Fact Sheet
Modifier 57 Fact Sheet
Modifier 58 Fact Sheet
Modifier 62 Fact Sheet
Modifier 66 Fact Sheet
Modifier 78 Fact Sheet
Modifier 79 Fact Sheet
Modifier PA Fact Sheet
Modifier PB Fact Sheet
Modifier PC Fact Sheet
Technical Component Modifiers
Telehealth Services Modifiers
Telehealth Modifier Fact Sheet
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Therapy Modifiers
Modifier CO Fact Sheet
Modifier CQ Fact Sheet
Outpatient Therapy Code Modifiers
General Modifier Information
Introduction to Modifiers
Informational Only Modifier Fact Sheet
Pricing Modifier Fact Sheet
Advance Beneficiary Notice of Non-Coverage Modifiers
See Advance Beneficiary Notice of Noncoverage (ABN)
Advanced Diagnostic Imaging Modifiers
Ambulance Modifiers
See Ambulance Statutory and Billing Requirements
Ambulatory Surgical Center Modifiers
Modifier 74 Fact Sheet
Modifier SG Fact Sheet
Anesthesia Modifiers
Anesthesia Documentation Modifiers
Anesthesia Physical Status Modifier Fact Sheet
Modifier 23 Fact Sheet
Modifier 47 Fact Sheet
Modifier QS Fact Sheet
Bilateral Modifiers
Modifier 50 Fact Sheet
Modifier LT Fact Sheet
Modifier RT Fact Sheet
Cardiovascular Modifiers
Modifier LC Fact Sheet
Modifier LD Fact Sheet
Modifier LM Fact Sheet
Modifier RI Fact Sheet
Catastrophe/Disaster Modifiers
Chiropractic Modifiers
Clinical Research Study Modifiers
Modifier Q0 Fact Sheet
Modifier Q1 Fact Sheet
Cost Sharing Modifiers
Diagnostic Procedure Modifiers
Eye Lid Modifiers Fact Sheet
Modifier 51 Fact Sheet
Modifier PT Fact Sheet
Digit (Finger/Toe) Modifiers
Finger Modifier Fact Sheet
Toe Modifier Fact Sheet
Discontinued Procedure Modifiers
Documentation Modifiers
Clarification on the Use of Modifier 22
Modifier 22 Fact Sheet
Modifier 52 Fact Sheet
Modifier 53 Fact Sheet
Modifier 62 Fact Sheet
Modifier 66 Fact Sheet
Modifier KX Fact Sheet
Drug Modifiers
Modifier JW Fact Sheet
Modifier JZ Fact Sheet
End Stage Renal Disease Modifiers
Evaluation and Management Modifiers
Modifier 24 Fact Sheet
Modifier 25 Fact Sheet
Modifier 57 Fact Sheet
Modifier FT Fact Sheet
See Correct Billing of Split (Shared) Services for modifier FS information.
Fee-For-Time Compensation Arrangements Modifiers
Fee-for-Service (FFS) Time Compensation Criteria
Foot Care Modifiers
Class Findings Modifier Fact Sheet
Hospice Modifiers
See Billing Services During a Hospice Election
Incarcerated Beneficiary Modifiers
Medicare Beneficiaries in State or Local Custody
Incentive Program Modifiers
Initial Inpatient Hospital/Nursing Facility Modifiers
Laboratory Modifiers
Modifier 90 Fact Sheet
Modifier 91 Fact Sheet
Modifier 92 Fact Sheet
Modifier LR Fact Sheet
Modifier QW Fact Sheet
Mammogram Modifiers
Mandated Services Modifiers
Modifier 32 - Mandated Services
Mental Health Modifiers
Modifier AH Fact Sheet
Modifier AJ Fact Sheet
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Multiple Modifiers
National Correct Coding Initiative Modifiers
Billing Modifier 59 with Procedure Codes 93451 and 93505
Common Claim Denials
Modifier 59 Fact Sheet
Modifier RC Fact Sheet
Modifier XE Fact Sheet
Modifier XP Fact Sheet
Modifier XS Fact Sheet
Modifier XU Fact Sheet
Opt Out Modifiers
See Claims for Professionals Opting Out of Medicare
Outpatient Services/Inpatient Admission Modifiers
Preventive Care
Procedure Code Change Modifiers (Used by MAC)
Professional Component Modifiers
Quality Payment Program Modifiers
Patient Relationship Modifier Fact Sheet
Radiology Modifiers
FDG PET Imaging Modifier Fact Sheet
Reciprocal Billing Modifiers
Repeat Procedure Modifiers
Modifier 76 Fact Sheet
Modifier 77 Fact Sheet
Resident Modifiers
Modifier GC Fact Sheet
Modifier GE Fact Sheet
Statutory Exclusion Modifiers
Excluded Services and Providers
Surgery Modifiers
Assistant at Surgery Modifier Fact Sheet
Bundling Denials
Eye Lid Modifiers Fact Sheet
Live Kidney Donor Services
Modifier 24 Fact Sheet
Modifier 47 Fact Sheet
Modifier 51 Fact Sheet
Modifier 54 Fact Sheet
Modifier 55 Fact Sheet
Modifier 57 Fact Sheet
Modifier 58 Fact Sheet
Modifier 62 Fact Sheet
Modifier 66 Fact Sheet
Modifier 78 Fact Sheet
Modifier 79 Fact Sheet
Modifier PA Fact Sheet
Modifier PB Fact Sheet
Modifier PC Fact Sheet
Technical Component Modifiers
Telehealth Services Modifiers
Telehealth Modifier Fact Sheet
Modifier FQ Fact Sheet
Modifier FR Fact Sheet
Therapy Modifiers
Modifier CO Fact Sheet
Modifier CQ Fact Sheet
Outpatient Therapy Code Modifiers
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