Cpt Modifiers

Front 1

What is a modifier's purpose?

Back 1

Modifiers indicate that a service or procedure has been altered by some circumstance but not changed in its definition or code

Front 2

Modifier 25

Back 2

Significant, separately identifyable evaluation and management service by the same MD or other qualified health care professional on the same day of the procedure or other service

Front 3

Significant, separately identifyable evaluation and management service by the same MD or other qualified health care professional on the same day of the procedure or other service

Back 3

Modifier 25

Front 4

Modifier -25 can be appended to what codes in the ED OPPS setting?

Back 4

99281 - 99285 or 99291 - 99292

Front 5

What criteria must be met in order to append modifer -25 to codes 99281 - 99285 or 99291 - 99292?

Back 5

Report -25 only if a procedure that has an SI of S or T is also assigned

Front 6

Status Indicator "T"

Back 6

Significant procedure subject to multiple procedure discounting.

Front 7

Status Indicator "S"

Back 7

Significant procedure NOT subject to multiple procedure discounting.