Modifier Description SA Nurse practitioner rendering service in collaboration with a physician SB Nurse midwife SC Medically necessary service or supply SD Services provided by registered nurse with specialized, highly technical home infusion training SE State and/or federally-funded programs/services SF Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% … Read more

Modifier Description RA Replacement of a dme, orthotic or prosthetic item RB Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair RC Right coronary artery RD Drug provided to beneficiary, but not administered “incident-to” RE Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems) … Read more

Modifier Description Q0 Investigational clinical service provided in a clinical research study that is in an approved clinical research study Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study Q2 Demonstration procedure/service Q3 Live kidney donor surgery and related services Q4 Service for ordering/referring physician qualifies … Read more

Modifier Description 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 … Read more

Modifier Description N1 Group 1 oxygen coverage criteria met N2 Group 2 oxygen coverage criteria met N3 Group 3 oxygen coverage criteria met NB Nebulizer system, any type, fda-cleared for use with specific drug NR New when rented (use the ‘nr’ modifier when dme which was new at the time of rental is subsequently purchased) … Read more

Modifier Description M2 Medicare secondary payer (msp) MS Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty

Modifier Description L1 Provider attestation that the hospital laboratory test(s) is not packaged under the hospital oppsTerminated December 31, 2016. LC Left circumflex coronary artery LD Left anterior descending coronary artery LL Lease/rental (use the ‘ll’ modifier when dme equipment rental is to be applied against the purchase price) LM Left main coronary artery LR … Read more

Modifier Description K0 Lower extremity prosthesis functional level 0 – does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility. K1 Lower extremity prosthesis functional level 1 – has the ability or potential to use a prosthesis … Read more

Modifier Description J1 Competitive acquisition program no-pay submission for a prescription number J2 Competitive acquisition program, restocking of emergency drugs after emergency administration J3 Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology J4 Dmepos item subject to dmepos competitive bidding program that is furnished by a … Read more

Modifier Description H9 Court-ordered HA Child/adolescent program HB Adult program, non geriatric HC Adult program, geriatric HD Pregnant/parenting women’s program HE Mental health program HF Substance abuse program HG Opioid addiction treatment program HH Integrated mental health/substance abuse program HI Integrated mental health and intellectual disability/developmental disabilities program HJ Employee assistance program HK Specialized mental … Read more