We have learnt a lot about coding many modifiers in past. All modifiers are unique and should be used very carefully. Today, we will learn about the list of HCPCS modifiers used in medical coding by medical coders.
Code(s) Description
A1 DRESSING FOR ONE WOUND
A2 DRESSING FOR TWO WOUNDS
A3 DRESSING FOR THREE WOUNDS
A4 DRESSING FOR FOUR WOUNDS
A5 DRESSING FOR FIVE WOUNDS
A6 DRESSING FOR SIX WOUNDS
A7 DRESSING FOR SEVEN WOUNDS
A8 DRESSING FOR EIGHT WOUNDS
A9 DRESSING FOR 9 OR MORE WOUND
AA ANESTHESIA PERF BY ANESGST
AD MD SUPERVISION, >4 ANES PROC
AE REGISTERED DIETICIAN
AF SPECIALTY PHYSICIAN
AG PRIMARY PHYSICIAN
AH CLINICAL PSYCHOLOGIST
AI Principal physician of rec
AJ CLINICAL SOCIAL WORKER
AK NON PARTICIPATING PHYSICIAN
AM PHYSICIAN, TEAM MEMBER SVC
AO Prov declined alt pmt method
AP NO DTMN OF REFRACTIVE STATE
AQ PHYSICIAN SERVICE HPSA AREA
AR PHYSICIAN SCARCITY AREA
AS ASSISTANT AT SURGERY SERVICE
AT ACUTE TREATMENT
AU URO, OSTOMY OR TRACH ITEM
AV ITEM W PROSTHETIC/ORTHOTIC
AW ITEM W A SURGICAL DRESSING
AX ITEM W DIALYSIS SERVICES
AY Item/service not for ESRD tx
AZ Physician serv in dent HPSA
Read also: When to use 58 and 78 modifier by medical coders
BA ITEM W PEN SERVICES
BL SPEC ACQUISITION BLOOD PRODS
BO NUTRITION ORAL ADMIN NO TUBE
BP BENE ELECTD TO PURCHASE ITEM
BR BENE ELECTED TO RENT ITEM
BU BENE UNDECIDED ON PURCH/RENT
CA PROCEDURE PAYABLE INPATIENT
CB ESRD BENE PART A SNF-SEP PAY
CC PROCEDURE CODE CHANGE
CD AMCC TEST FOR ESRD OR MCP MD
CE MED NECES AMCC TST SEP REIMB
CF AMCC TST NOT COMPOSITE RATE
CG Policy criteria applied
CH 0 percent impaired, ltd, res
CI 1 to <20 percent impaired
CJ 20 to <40 percent impaired
CK 40 to <60 percent impaired
CL 60 to <80 percent impaired
CM 80 to <100 percent impaired
CN 100 percent impaired, ltd
CR Catastrophe/disaster related
CS Gulf Oil 2010 Spill Related
CT Ct does not meet nema standa
DA Oral health assess, not dent
E1 UPPER LEFT EYELID
E2 LOWER LEFT EYELID
E3 UPPER RIGHT EYELID
E4 LOWER RIGHT EYELID
EA ESA, ANEMIA, CHEMO-INDUCED
EB ESA, ANEMIA, RADIO-INDUCED
EC ESA, ANEMIA, NON-CHEMO/RADIO
ED HCT>39% OR HGB>13G>=3 CYCLE
EE HCT>39% OR HGB>13G
EJ SUBSEQUENT CLAIM
EM EMER RESERVE SUPPLY (ESRD)
EP MEDICAID EPSDT PROGRAM SVC
ET EMERGENCY SERVICES
EX EXPATRIATE BENEFICIARY
EY NO MD ORDER FOR ITEM/SERVICE
F1 LEFT HAND, SECOND DIGIT
F2 LEFT HAND, THIRD DIGIT
F3 LEFT HAND, FOURTH DIGIT
F4 LEFT HAND, FIFTH DIGIT
F5 RIGHT HAND, THUMB
F6 RIGHT HAND, SECOND DIGIT
F7 RIGHT HAND, THIRD DIGIT
F8 RIGHT HAND, FOURTH DIGIT
F9 RIGHT HAND, FIFTH DIGIT
FA LEFT HAND, THUMB
FB ITEM PROVIDED WITHOUT COST
FC PART CREDIT, REPLACED DEVICE
FP SVC PART OF FAMILY PLAN PGM
FX X-ray taken using film
FY Computed radiography x-ray
Read also: When to use Modifier 26 and TC modifier
G1 URR READING OF LESS THAN 60
G2 URR READING OF 60 TO 64.9
G3 URR READING OF 65 TO 69.9
G4 URR READING OF 70 TO 74.9
G5 URR READING OF 75 OR GREATER
G6 ESRD PATIENT <6 DIALYSIS/MTH
G7 PAYMENT LIMITS DO NOT APPLY
G8 MONITORED ANESTHESIA CARE
G9 MAC FOR AT RISK PATIENT
GA Liability waiver ind case
GB CLAIM RESUBMITTED
GC RESIDENT/TEACHING PHYS SERV
GD UNIT OF SERVICE > MUE VALUE
GE RESIDENT PRIM CARE EXCEPTION
GF NONPHYSICIAN SERV C A HOSP
GG PAYMENT SCREEN MAM + DIAGMAM
GH DIAG MAMMO TO SCREENING MAMO
GJ “OPT OUT” PROVIDER OF ER SRVC
GK ACTUAL ITEM/SERVICE ORDERED
GL UPGRADED ITEM, NO CHARGE
GN OP SPEECH LANGUAGE SERVICE
GO OP OCCUPATIONAL THERAPY SERV
GP OP PT SERVICES
GQ TELEHEALTH STORE AND FORWARD
GR SERVICE BY VA RESIDENT
GS Epo/darbepoietin reduced 25%
GT INTERACTIVETELECOMMUNICATION
GU Liability waiver rout notice
GV ATTENDING PHYS NOT HOSPICE
GW SERVICE UNRELATED TO TERM CO
GX VOLUNTARY LIABILITY NOTICE
GY STATUTORILY EXCLUDED
GZ NOT REASONABLE AND NECESSARY
H9 COURT-ORDERED
HA CHILD/ADOLESCENT PROGRAM
HB ADULT PROGRAM NON-GERIATRIC
HC ADULT PROGRAM GERIATRIC
HD PREGNANT/PARENTING PROGRAM
HE MENTAL HEALTH PROGRAM
HF SUBSTANCE ABUSE PROGRAM
HG OPIOID ADDICTION TX PROGRAM
HH MENTAL HLTH/SUBSTANCE ABS PR
HI Men hlth intel/dev disab pgm
HJ EMPLOYEE ASSISTANCE PROGRAM
HK SPEC HGH RSK MNTL HLTH POP P
HL INTERN
HM LESS THAN BACHELOR DEGREE LV
HN BACHELORS DEGREE LEVEL
HO MASTERS DEGREE LEVEL
HP DOCTORAL LEVEL
HQ GROUP SETTING
HR FAMILY/COUPLE W CLIENT PRSNT
HS FAMILY/COUPLE W/O CLIENT PRS
HT MULTI-DISCIPLINARY TEAM
HU CHILD WELFARE AGENCY FUNDED
HV FUNDED STATE ADDICTION AGNCY
HW STATE MNTL HLTH AGNCY FUNDED
HX COUNTY/LOCAL AGENCY FUNDED
HY FUNDED BY JUVENILE JUSTICE
HZ CRIMINAL JUSTICE AGNCY FUND
J1 CAP NO-PAY FOR PRESCRIPT NUM
J2 CAP RESTOCK OF EMERG DRUGS
J3 CAP DRUG UNAVAIL THRU CAP
J4 DMEPOS comp bid furn by hosp
JA ADMINISTERED INTRAVENOUSLY
JB ADMINISTERED SUBCUTANEOUSLY
JC Skin substitute graft
JD Skin sub not used as a graft
JE Administered via dialysate
JG 340b acquired drug
JW DISCARDED DRUG NOT ADMINISTE
Read also: When to use 25 and 27 modifier by medical coder
K0 LWR EXT PROST FUNCTNL LVL 0
K1 LWR EXT PROST FUNCTNL LVL 1
K2 LWR EXT PROST FUNCTNL LVL 2
K3 LWR EXT PROST FUNCTNL LVL 3
K4 LWR EXT PROST FUNCTNL LVL 4
KA WHEELCHAIR ADD-ON OPTION/ACC
KB >4 MODIFIERS ON CLAIM
KC REPL SPECIAL PWR WC INTRFACE
KD DRUG/BIOLOGICAL DME INFUSED
KE Bid under round 1 dmepos cb
KF FDA CLASS III DEVICE
KG DMEPOS COMP BID PRGM NO 1
KH DMEPOS INI CLM, PUR/1 MO RNT
KI DMEPOS 2ND OR 3RD MO RENTAL
KJ DMEPOS PEN PMP OR 4-15MO RNT
KK DMEPOS COMP BID PRGM NO 2
KL DMEPOS MAILORDER COMP BID
KM RPLC FACIAL PROSTH NEW IMP
KN RPLC FACIAL PROSTH OLD MOD
KO SINGLE DRUG UNIT DOSE FORM
KP FIRST DRUG OF MULTI DRUG U D
KQ 2ND/SUBSQNT DRG MULTI DRG UD
KR RENTAL ITEM PARTIAL MONTH
KS GLUCOSE MONITOR SUPPLY
KT ITEM FROM NONCONTRACT SUPPLY
KU DMEPOS COMP BID PRGM NO 3
KV DMEPOS ITEM, PROFESSION SERV
KW DMEPOS COMP BID PRGM NO 4
KX DOCUMENTATION ON FILE
KY DMEPOS COMP BID PRGM NO 5
KZ NEW COV NOT IMPLEMENT BY M+C
LC LFT CIRCUM CORONARY ARTERY
LD LEFT ANT DES CORONARY ARTERY
LL LEASE/RENTAL (APPLD TO PUR)
LM Left main coronary artery
LR LABORATORY ROUND TRIP
LS FDA-MONITORED IOL IMPLANT
LT LEFT SIDE