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
Modifier Description G0 Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke G1 Most recent urr reading of less than 60 G2 Most recent urr reading of 60 to 64.9 G3 Most recent urr reading of 65 to 69.9 G4 Most recent urr reading of 70 to 74.9 G5 Most recent … Read more
Modifier Description F1 Left hand, second digit F2 Left hand, third digit F3 Left hand, fourth digit F4 Left hand, fifth digit F5 Right hand, thumb F6 Right hand, second digit F7 Right hand, third digit F8 Right hand, fourth digit F9 Right hand, fifth digit FA Left hand, thumb FB Item provided without cost … Read more
Modifier Description E1 Upper left, eyelid E2 Lower left, eyelid E3 Upper right, eyelid E4 Lower right, eyelid EA Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy EB Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy EC Erythropoetic stimulating agent (esa) administered to treat anemia not due … Read more
Modifier Description CA Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission CB Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary’s dialysis benefit, is not part of the composite rate, and is separately reimbursable CC Procedure code change (use … Read more
Modifier Description BA Item furnished in conjunction with parenteral enteral nutrition (pen) services BL Special acquisition of blood and blood products BO Orally administered nutrition, not by feeding tube BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item BR The beneficiary has been informed of … Read more
HCPCS ‘A’ Modifiers (32) Modifier Description A1 Dressing for one wound A2 Dressing for two wounds A3 Dressing for three wounds A4 Dressing for four wounds A5 Dressing for five wounds A6 Dressing for six wounds A7 Dressing for seven wounds A8 Dressing for eight wounds A9 Dressing for nine or more wounds AA Anesthesia services … Read more