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Modifier

The document outlines various surgery modifiers used in medical coding, including their definitions and examples. Modifiers such as 22 for increased complexity, 23 for unusual procedures, and 50 for bilateral procedures are explained. Additionally, it covers evaluation and management (E/M) modifiers like 24, 25, and 57 related to services provided during the global period of surgery.

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5 views2 pages

Modifier

The document outlines various surgery modifiers used in medical coding, including their definitions and examples. Modifiers such as 22 for increased complexity, 23 for unusual procedures, and 50 for bilateral procedures are explained. Additionally, it covers evaluation and management (E/M) modifiers like 24, 25, and 57 related to services provided during the global period of surgery.

Uploaded by

chaturvedimilan222
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Surgery Modifiers

Modifier – Modifier is a two-digit alphanumeric word


QS, QZ, QY, QK, P1-P5, AA
Modifier 22 – Increased time, Complexity of the procedure
Eg – If the dr is performing hepatectomy (Left lobe) and due to excess fat the dr
is having some difficulty in performing the proc. Which increases the time of the
surgery, hence in this case we will use
47125 – 22
Modifier 23 – Unusual procedure(In which anesthesia is not usually needed but
due to unusual circumstance the general anesthesia is given)
Modifier 47 – Anesthesia given by surgeon
Modifier 50 – Bilateral Procedure (Procedure performed on both sides of the
body )
RT – Right Side of the body
LT – Left side of the body
20610 – RT
20610 – LT
20610 – 50
Modifier 51 – Multiple procedure (Procedure done on the body either multiple
times at different location or different procedure at the same location)
Modifier 52 – Reduce Service (Service only Partially performed)
Partial Tooth extraction CPT D7140 – 52
Modifier 53 – Discontinue service
The service is cancelled due to some reason
Modifier 58 – Staged procedure (the surgery is performed in parts)
Modifier 59 – Distinct procedure (When we want insurance to pay the service of
the separate procedure which is generally bundle in the large procedure)
Modifier 78 – Unplanned return of the pt in postoperative period to the
operating room during the post operative period in related condition
Modifier 79 - Unplanned return of the pt in postoperative period to the
operating room during the postoperative period for unrelated condition
Evaluation and Management(E/M)
24, 25, 57
Modifier 24 – Separate service is given in E/M within Global period of the surgery
Modifier 25 – Separate service is done in E/M
Modifier 57 – Scheduled for surgery (Decision for surgery)
99024 – Global period E/M

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