CPT Modifiers

Question 1

Unusual/increased procedural services

Answer 1

22

Question 2

Unusual anesthesia services

Answer 2

23

Question 3

Reduced services

Answer 3

52

Question 4

Discontinued services

Answer 4

53

Question 5

Procedure performed on infant less than 4 kg

Answer 5

63

Question 6

Multiple procedures

Answer 6

51

Question 7

Surgical care only

Answer 7

54

Question 8

Postoperative management only

Answer 8

55

Question 9

Preoperative management only

Answer 9

56

Question 10

Decision for surgery

Answer 10

57

Question 11

Staged/related procedure/service same physician during global period

Answer 11

58

Question 12

Distinct procedural service

Answer 12

59

Question 13

Two surgeons

Answer 13

62

Question 14

Surgical team

Answer 14

66

Question 15

Unplanned return to OR same physician following initial procedure for related procedure during global period

Answer 15

78

Question 16

Unrelated procedure/service same physician during global period

Answer 16

79

Question 17

Assistant surgeon

Answer 17

80

Question 18

Minimum assistant surgeon (only participated in open/close of procedure)

Answer 18

81

Question 19

Assistant surgeon when qualified resident not available

Answer 19

82

Question 20

Reference (outside laboratory)

Answer 20

90

Question 21

Repeat clinical diagnostic lab test

Answer 21

91

Question 22

Alternative lab platform testing

Answer 22

92

Question 23

Habilitative services

Answer 23

96

Question 24

Rehabilitative services

Answer 24

97

Question 25

Unrelated E & M same physician during global period

Answer 25

24

Question 26

Significantly, separately identifiable E/M on same day as procedure/service

Answer 26

25

Question 27

Unusual anesthesia

Answer 27

23

Question 28

Anesthesia by surgeon

Answer 28

47

Question 29

Repeat procedure/service same physician

Answer 29

76

Question 30

Repeat procedure/service different physician

Answer 30

77

Question 31

Repeat clinical diagnostic lab test

Answer 31

91

Question 32

Professional component (test/procedure itself was performed elsewhere or by other entities)

Answer 32

26

Question 33

Mandated services

Answer 33

32

Question 34

Preventative services

Answer 34

33

Question 35

Synchronous telemedicine services

Answer 35

95

Question 36

Multiple modifiers (appended when the number of modifiers cannot be provided on the first line of service along with the CPT code)

Answer 36

99