A Modifier – will modify a service / procedure or an item under certain circumstances for appropriate reimbursement on the claim. Modifiers may add information or change the description according to the physician documentation to give more specificity and detail for the services or procedure performed.
Appending an appropriate modifier will effectively respond to claim reimbursement.
Level I CPT Modifiers:
Normally known as CPT Modifiers and consists of two numeric digits and are updated annually by AMA – American Medical Association.
-25, -27, -50, -52, -58, -59, -73, -74, -76, -77, -78, -79, -91
Level II HCPCS Modifiers:
Normally known as HCPCS Modifiers and consists of two digits (Alpha / Alphanumeric characters) in the sequence AA through VP. These modifiers are annually updated by CMS – Centers for Medicare and Medicaid Services.
-CA, -E1, -E2, -E3, -E4, -FA, -FB, -FC, -F1, -F2, -F3, -F4, -F5, -F6, -F7, -F8, -F9, -GA, -GG, -GH, -GY, -GZ, -LC, -LD, -LT, -QL, -QM, -RC, -RT, -TA, -T1, -T2, -T3, -T4, -T5, -T6, -T7, -T8, -T9
