Modifiers
E/M Category
Let's Look up a Code
Miscellaneous!
100

two surgeons

What is modifier 62?

100

new patient office visit, 15-29 minutes of total time is spent on the encounter

What is cpt code 99202?

100

cpt code 20610

What is arthrocentesis, aspiration &/or injection, major joint or bursa; without ultrasound guidance

100

5 digits long

What is a CPT code?

200

discontinued procedure

What is modifier 53?
200

new patient office visit, 60-74 minutes of total time is spent on the encounter

What is cpt code 99205?

200

Excision of a bone cyst of clavicle

What is cpt code 23140?

200

tracks performance, collects data

What is a Category II CPT code?
300

repeat procedure or service by the same physician or other qualified healthcare professional

What is modifier 76?

300

established patient office or other outpatient office visit...moderate level of medical decision making

What is cpt code 99214?
300

Laryngoscopy, indirect; with removal of foreign body

What is cpt code 31511?

300

ESRD

What is end stage renal disease?
400

left hand, fifth digit

What is modifier F4?

400

this patient has received services from the physician within the last 36 months

What is an established patient?
400

Decortication, pulmonary (separate procedure); partial

What is cpt code 32225?

400

Category Code III?

What is a temporary CPT code?

500

ramus intermedius coronary artery

What is modifier RI?

500

cpt code 99473

What is " self-measured blood pressure using a device validated for clinical accuracy..."?

500

diagnostic analysis of cochlear implant, age 7 & older; with subsequent reprogramming

What is cpt code 92604? 

Journey: Hearing therapy, analysis & programming

or cochlear, programming 

500
no distinction is made between new and established patients in this department

What is the emergency department (or room)?