| Column 1 Code | Description, Column 2 Code | Edit Code | Modifier Indicator | Effective Date | Termination Date |
|---|---|---|---|---|---|
| Invalid Code. | |||||
Instructions
Each code is displayed in the first column, along with the description in the second column.
If any edits exist with any of the other codes, the column 2 codes will be listed on subsequent lines.
Column 1 codes take priority and will be paid instead of the Column 2 code.
Edit Codes explaination
|
01 - Standards of medical/surgical practice 02 - HCPCS/CPT separate procedure definition 03 - Most Extensive Procedure 05 - Anesthesia Included in Surgical Procedures 06 - Laboratory Panels 07 - Sequential Procedures |
08 - Standard Preparation / Monitoring Service 09 - HCPCS/CPT procedure code definition 10 - HCPCS/CPT coding manual instruction / guideline 11 - Code Pair Edit 12 - Mutually Exclusive procedures 13 - Gender-specific procedure |
Modifier Indicator explanation
0 - No modifiers override this edit.
1 - Modifiers 58 or 59 override this edit.
9 - This edit is no longer valid