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Modifiers

Last updated: January 2008


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CPT Modifiers

The list below provide modifiers applicable to CPT 2008 codes. See the Current Procedural Terminology (CPT®) 2007 Professional Edition (Appendix A) for full definitions.1


-21 Prolonged Evaluation and Management Service
-22 Unusual Procedural Service
-23 Unusual Anesthesia
-24 Unrelated Evaluation and Management Service by the Same Physician During a Post-operative Period
-25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of a Procedure or Other Service
-26 Professional Component
-32 Mandated Service
-47 Anesthesia by Surgeon
-50 Bilateral Procedure
-51 Multiple Procedures
-52 Reduced Service
-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 a Post-operative Period
-59 Distinct Procedural Service
-62 Two Surgeons
-63 Procedure Performed on Infants less than 4 kg.
-66 Surgical Team
-76 Repeat Procedure by Same Physician
-77 Repeat Procedure by Another Physician
-78 Return to the Operating Room for a Related Procedure During the Post-operative Period
-79 Unrelated Procedure or Service by the Same Physician During the Post-operative Period
-80 Assistant Surgeon
-81 Minimum Assistant Surgeon
-82 Assistant Surgeon (when qualified resident surgeon not available)
-90 Reference (Outside) Laboratory
-91 Repeat Clinical Laboratory Diagnostic Test
-99 Multiple Modifiers

CPT Modifiers Approved for Hospital Outpatient Use

The list below provides modifiers approved for hospital outpatient use (Level 1 [CPT]). See the Current Procedural Terminology (CPT®) 2008 Professional Edition (Appendix A) for full definitions.1


-25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of a Procedure or Other Service
-27 Multiple Outpatient Hospital E/M Encounters on the Same Date
-50 Bilateral Procedure
-52 Reduced Service
-58 Staged or Related Procedure or Service by the Same Physician During a Post-operative Period
-59 Distinct Procedural Service
-73 Discontinued Out-Patient Procedure Prior to Anesthesia Administration
-74 Discontinued Out-Patient Procedure After Anesthesia Administration
-76 Repeat Procedure by Same Physician
-77 Repeat Procedure by Another Physician
-78 Return to the Operating Room for a Related Procedure During the Post-operative Period
-79 Unrelated Procedure or Service by the Same Physician During the Post-operative Period
-91 Repeat Clinical Laboratory Diagnostic Test
-FC Partial credit received for replaced device
-FB Item provided without cost to provider, supplier, or practitioner (examples, but not limited to: covered under warranty, replaced due to defect, free samples)

  1. American Medical Association. Current Procedural Terminology (CPT) 2008. Professional Edition. Chicago, IL: 2007.

Reference: C5-341-0107

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