MOD 1
Bilateral Procedure
-50
Patient with mild systemic disease
-P2
Mandated Services
-32
Assistant Surgeon
-80
Professional component
-26
Repeat procedure by another physician or other qualified health care professional.
-77
Declared brain dead patient whose organs are being removed for donor purposes.
-P5
Unplanned return to the OR by the same Dr. or other qualified health professional following initial procedure for a related procedure during post-op period.
-79
Significant, separately identifiable E&M service by the same Dr. or other qualified health care professional on same day of the procedure or other service.
-25
Unplanned return to OR by same Dr. or other qualified health professional following initial period for related procedure during post-op period.
-78
Synchronous Telemedicine service via phone or other real-time interactive audio only telecommunications.
-93
Normal healthy patient
-P1
Multiple procedures
-51
Preventative Service
-33
Discontinued procedure
-53
Distinct procedural service
-59
Severe systemic disease that is a constant threat to life.
-P4
Multiple Modifiers
-99
Procedure performed on infants less than 4 kg.
-63
Unrelated E&M service by same Dr. or other qualified healthcare professional during post-op period.
-24
Increased procedural service
-22
Patient with mild systemic disease.
-P2
Surgical Team
-66
Decision for surgery
-57
Repeat procedure by same Dr. or other qualified healthcare professional.
-76