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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