HCPCS modifiers list M to X

HCPCS modifiers from M to X

M2 MEDICARE SECONDARY PAYER
MS 6-MO MAINT/SVC FEE PARTS/LBR

NB Drug specific nebulizer
NR NEW WHEN RENTED
NU NEW EQUIPMENT

P1 NORMAL HEALTHY PATIENT
P2 PATIENT W/MILD SYST DISEASE
P3 PATIENT W/SEVERE SYS DISEASE
P4 PT W/SEV SYS DIS THREAT LIFE
P5 PT NOT EXPECT SURV W/O OPER
P6 BRAIN-DEAD PT ORGANS REMOVED
PA SURGICAL OR OTHER INVASIVE PROCEDURE ON WRONG BODY PART
PB SURGICAL OR OTHER INVASIVE PROCEDURE ON WRONG PATIENT
PC WRONG SURGERY OR OTHER INVASIVE PROCEDURE ON PATIENT
PD Inp admit w/in 3 days
PL PROGRESSIVE ADDITION LENSES
PM Post mortem
PN Non-excepted off-campus svc
PO Excepted off-campus service
PT Clrctal screen to diagn

HCPCS modifiers list M to X

Q0 INVEST CLINICAL RESEARCH
Q1 ROUTINE CLINICAL RESEARCH
Q2 Demo procedure, service Changed Code for 2017
Q3 LIVER DONOR SURGERY/SERVICES
Q4 SVC EXEMPT – ORDRG/RFRNG MD
Q5 Recip bill arr subs md or pt Changed Code for 2017
Q6 Fee/time comp subst md or pt Changed Code for 2017
Q7 ONE CLASS A FINDING
Q8 TWO CLASS B FINDINGS
Q9 1 CLASS B & 2 CLASS C FNDNGS
QA Avg sta day/night o2 < 1 lpm Reactivated Code for 2018
QB Avg day/nite o2 > 4 lpm/port Reactivated Code for 2018
QC SINGLE CHANNEL MONITORING
QD RCRDG/STRG IN SLD ST MEMORY
QE Stationary o2 @ rest <1 lpm Changed Code for 2018
QF Station o2 @ rest >4lpm/port Changed Code for 2018
QG Station o2 @ rest > 4 lpm Changed Code for 2018
QH OXYGEN CNSRVG DVC W DEL SYS
QJ PATIENT IN STATE/LOCL CUSTOD
QK MED DIR 2-4 CNCRNT ANES PROC
QP INDIVIDUALLY ORDERED LAB TST
QQ Qualified cdsm consulted Reactivated Code for 2018
QR Avg sta day/night o2 > 4 lpm Reactivated Code for 2018
QS MONITORED ANESTHESIA CARE
QT RCRDG/STRG TAPE ANALOG RECDR
QW CLIA WAIVED TEST
QX CRNA SVC W/ MD MED DIRECTION
QY MEDICALLY DIRECTED CRNA
QZ CRNA SVC W/O MED DIR BY MD

RA REPLACEMENT OF A DME ITEM
RB Replacement part, DME item
RC RIGHT CORONARY ARTERY
RD DRUG ADMIN NOT INCIDENT-TO
RE Furnish full compliance rems
RI Ramus intermedius cor artery
RR RENTAL (DME)
RT RIGHT SIDE

SA NURSE PRACTITIONER W PHYSICI
SB NURSE MIDWIFE
SC MEDICALLY NECESSARY SERV/SUP Medicare – Carrier Determined
SD SERV BY HOME INFUSION RN
SE STATE/FED FUNDED PROGRAM/SER
SF 2ND OPINION ORDERED BY PRO
SG ASC FACILITY SERVICE
SH 2ND CONCURRENT INFUSION THER
SJ 3RD CONCURRENT INFUSION THER
SK HIGH RISK POPULATION
SL STATE SUPPLIED VACCINE
SM SECOND OPINION
SN THIRD OPINION
SQ ITEM ORDERED BY HOME HEALTH
SS HIT IN INFUSION SUITE
ST RELATED TO TRAUMA OR INJURY
SU PERFORMED IN PHYS OFFICE
SV DRUGS DELIVERED NOT USED
SW SERV BY CERT DIAB EDUCATOR
SY CONTACT W/HIGH-RISK POP

               

Icons
T1 LEFT FOOT, SECOND DIGIT
T2 LEFT FOOT, THIRD DIGIT
T3 LEFT FOOT, FOURTH DIGIT
T4 LEFT FOOT, FIFTH DIGIT
T5 RIGHT FOOT, GREAT TOE
T6 RIGHT FOOT, SECOND DIGIT
T7 RIGHT FOOT, THIRD DIGIT
T8 RIGHT FOOT, FOURTH DIGIT
T9 RIGHT FOOT, FIFTH DIGIT
TA LEFT FOOT, GREAT TOE
TB Tracking 340b acquired drug New Code for 2018
TC TECHNICAL COMPONENT
TD RN
TE LPN/LVN
TF INTERMEDIATE LEVEL OF CARE
TG COMPLEX/HIGH TECH LEVEL CARE
TH OB TX/SRVCS PRENATL/POSTPART
TJ CHILD/ADOLESCENT PROGRAM GP
TK EXTRA PATIENT OR PASSENGER
TL EARLY INTERVENTION IFSP
TM INDIVIDUALIZED ED PRGRM(IEP)
TN RURAL/OUT OF SERVICE AREA
TP MED TRANSPRT UNLOADED VEHICL
TQ BLS BY VOLUNTEER AMB PROVIDR
TR SCHOOL-BASED IEP OUT OF DIST
TS FOLLOW-UP SERVICE
TT ADDITIONAL PATIENT
TU OVERTIME PAYMENT RATE
TV HOLIDAY/WEEKEND PAYMENT RATE
TW BACK-UP EQUIPMENT

U1 M/CAID CARE LEV 1 STATE DEF
U2 M/CAID CARE LEV 2 STATE DEF
U3 M/CAID CARE LEV 3 STATE DEF
U4 M/CAID CARE LEV 4 STATE DEF
U5 M/CAID CARE LEV 5 STATE DEF
U6 M/CAID CARE LEV 6 STATE DEF
U7 M/CAID CARE LEV 7 STATE DEF
U8 M/CAID CARE LEV 8 STATE DEF
U9 M/CAID CARE LEV 9 STATE DEF
UA M/CAID CARE LEV 10 STATE DEF
UB M/CAID CARE LEV 11 STATE DEF
UC M/CAID CARE LEV 12 STATE DEF
UD M/CAID CARE LEV 13 STATE DEF
UE USED DURABLE MED EQUIPMENT
UF SERVICES PROVIDED, MORNING
UG SERVICES PROVIDED, AFTERNOON
UH SERVICES PROVIDED, EVENING
UJ Services provided, night Changed Code for 2017
UK SVC ON BEHALF CLIENT-COLLAT
UN TWO PATIENTS SERVED
UP THREE PATIENTS SERVED
UQ FOUR PATIENTS SERVED
UR FIVE PATIENTS SERVED
US SIX OR MORE PATIENTS SERVED

V1 Demonstration modifier 1 New Code for 2017
V2 Demonstration modifier 2 New Code for 2017
V3 Demonstration modifier 3 New Code for 2017
V5 VASCULAR CATHETER
V6 Arteriovenous graft
V7 Arteriovenous fistula
VM Mdpp virtual make-up session New Code for 2018
VP APHAKIC PATIENT

X1 Continuous/broad services New Code for 2018
X2 Continuous/focused services New Code for 2018
X3 Episodic/broad services New Code for 2018
X4 Episodic/focused services New Code for 2018
X5 Svc req by another clinician New Code for 2018
XE Separate encounter
XP Separate practitioner
XS Separate organ/structure
XU Unusual separate service

 

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