E/M
Surgery
Anesthesia
Special Surgery
Misc.
100
Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period.
What is 24
100
Unplanned Return to the Operation/Procedure Room by the Same Physican or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period.
What is 78
100
Anesthesia by Surgeon: Regional or general anesthesia provided by the surgeon.
What is 47
100
Increased Procedural Services: When the work required to provide a service is substantially greater than typically required.
What is 22
100
Professional Component: Certain procedures are a combination of a physician component and a technical component.
What is 26
200
Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Services.
What is 25
200
When multiple procedures, other than Evaluation and Management Services, are performed at the same session by the same provider.
What is 51
200
A patient with severe systemic disease that is a constant threat to life.
What is P4
200
Two Surgeons: When 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work.
What is 62
200
Technical Component: Under certain ciracumstances a charge may be made for the technical component alone.
What is TC
300
Mandated Services: Services related to mandated consultation and/or related services (eg, third-party payer, governmental, legislative or regulatory requirement).
What is 32
300
Reduced Services: Under certain circumstances a service or procedure is partially reduced or eliminated at the physician's discretion.
What is 52
300
A normal healthy patient.
What is P1
300
Assistant Surgeon (when qualified resident surgeon not available):
What is 82
300
Repeat Procedure or Service by Another Physician or Ohter Qualified Health Care Professional: It may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service.
What is 77
400
Item or service expected to be denied as not reasonable and necessary.
What is GZ
400
Staged or Related Procedure or Service by the Same Physician During the Postoperative Period: It may be necessary to indicate that the performance of a procedure or service during the postoperative period was (a) planned or staged; (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure.
What is 58
400
A patient with sever systemic disease.
What is P3
400
Unrelated Procedure or Service by the Same Physician During the Postoperative Period: The physician may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure.
What is 79
400
Multiple Modifiers: Under certain circumstances 2 or more modifiers may be necessary to completely delineate a service.
What is 99
500
An evaluation and management service that resulted in the initial decision to perform surgery.
What is 57
500
Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day.
What is 59
500
A patient with mild systemic disease.
What is P2
500
Assistant Surgeon
What is 80
500
Waiver of liability statement issued as required by payer policy, individual case.
What is GA
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