Unusual Non-Overlapping Service, the use of a service that is distinct because it does not overlap usual components of the main serviceĪmbulance Origin/Destination Modifiers Modifierĭiagnostic or therapeutic site other than 'P' or 'H' when these codes are used as origin codes. Separate Structure, A service that is distinct because it was performed on a separate organ/structure Separate Practitioner, A service that is distinct because it was performed by a different practitioner Separate encounter, A service that is distinct because it occurred during a separate encounter Investigational clinical service provided in a clinical research study that is in an approved clinical research study Routine clinical service provided in a clinical research study that is in an approved clinical research study

Used to identify telehealth services furnished for purposes of diagnosis, evaluation, or treatment of symptoms of an acute stroke.Īttending physician is not employed or paid under agreement by the patient's Hospice providerĬondition not related to the patient's terminal conditionĭrug amount discarded/not administered to any patient Opt-out physicians billing on an emergency basis for non-contracted patients. Service has been performed in part by a resident under the direction of a teaching physician Item or service furnished to ESRD patient - not for ESRD treatmentĬomputed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard Multiple Modifiers (same line, same code) Unrelated procedure or service by same physician during postoperative period Return to Operating Room for related surgery during post op period Prior Discontinued Ambulatory Surgical Center (ASC) or Outpatient HospitalĪfter Anesthesia Administration - Discontinued Ambulatory Surgical Center (ASC) or Outpatient Hospital Staged or Related Procedure or Service During Postoperative Period by Same Physician Professional Component Only (separate from technical component)ĭiscontinued Procedure (professional services only)Īn evaluation and management (E/M) service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service.

Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service Unrelated evaluation and management service by the same physician during a postoperative period Increased Procedural Services (surgical/procedures codes only)

Broken mods hospital 16