CPT^® Code Modifiers

Level I - CPT Modifiers

section notes

Level I - CPT Modifiers for ASC Use

22				Increased Procedural Services
23				Unusual Anesthesia
24				Unrelated E&M Same Physician PostOp
25				Significant, Separately Identifiable E&M Same Phy & Day
26				Professional Component
27				Multiple Outpatient Hospital E/M Same Date
32				Mandated Services
33				Preventive Services
47				Anesthesia by Surgeon
50				Bilateral Procedure
51				Multiple Procedures
52				Reduced Services
53				Discontinued Procedure
54				Surgical Care Only
55				Postoperative Management Only
56				Preoperative Management Only
57				Decision for Surgery
58				Staged/Related Proc/Srvc Same Phy PostOp
59				Distinct Procedural Service
62				Two Surgeons
63				Procedure Performed on Infants less than 4 kg
66				Surgical Team
73				Discont. OutPat Hosp/ACS Prior to Anesthesia
74				Discont. OutPat Hosp/ACS After Anesthesia
76				Repeat Procedure or Service by Same Physician
77				Repeat Procedure by Another Physician
78				Unplanned Return to OR Same Phy PostOp
79				Unrelated Proc by Same Phy PostOp
80				Assistant Surgeon
81				Minimum Assistant Surgeon
82				Assistant Surgeon (when qual resident surgeon NA)
90				Reference (Outside) Laboratory
91				Repeat Clinical Diagnostic Laboratory Test
92				Alternative Laboratory Platform Testing
93				Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Te
95				Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunicat
96				Habilitative Services
97				Rehabilitative Services
99				Multiple Modifiers

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