AHA Coding Clinic® for HCPCS - 2001 Issue 2

Let's talk about modifiers

Modifiers are generally twodigit or five-digit numeric or alphanumeric characters. However, for hospital reporting only the two-digit character code is appended to the Health Care Financing Administration’s Common Procedure Classification System (HCPCS) Level I (CPT) and HCPCS Level II codes. The reporting of modifiers with CPT and HCPCS Level II codes identify altered services that were provided to the patient. These altered services unfortunately cannot be easily identified on a claim. Therefore, modifiers were established to permit claims of such nature to bypass the Correct Coding Initiative (CCI) edits and supply additional information regarding the specific service provided...

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