Modifier Description X1 Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are … Read more
Modifier Description V1 Demonstration modifier 1 V2 Demonstration modifier 2 V3 Demonstration modifier 3 V4 Demonstration modifier 4 V5 Vascular catheter (alone or with any other vascular access) V6 Arteriovenous graft (or other vascular access not including a vascular catheter) V7 Arteriovenous fistula only (in use with two needles) V8 Infection presentTerminated March 31, 2012. … Read more
Modifier Description U1 Medicaid level of care 1, as defined by each state U2 Medicaid level of care 2, as defined by each state U3 Medicaid level of care 3, as defined by each state U4 Medicaid level of care 4, as defined by each state U5 Medicaid level of care 5, as defined by … Read more
Modifier Description T1 Left foot, second digit T2 Left foot, third digit T3 Left foot, fourth digit T4 Left foot, fifth digit T5 Right foot, great toe T6 Right foot, second digit T7 Right foot, third digit T8 Right foot, fourth digit T9 Right foot, fifth digit TA Left foot, great toe TB Drug or … Read more
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