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CODE.MODE

MODIFIERS

CPT Level I 

Modifiers are two-characters (either numeric or alphanumeric), which are reported in addition to a code to provide further information. Modifiers help to further report or indicate that a service or procedure has been altered or modified by a specific way, which does not change its definition nor the code. Other specialized modifiers can also provide physical status or location information. 

These are found within Appendix A of the CPT manual. 

OVERVIEW

FORMAT

Two-Characters (added to CPT codes)

  • Numeric

  • Alphanumeric  

TYPES:

  • CPT Category I

    • Anesthesia ​

    • Ambulatory Surgery Center (ASC) Outpatient​

      • CPT Level I​

  • CPT Category II

  • Level II (HCPCS/National)

PUBLICATION

  • AMA

  • Annually:

    • Late Summer or Early Fall

    • Electronic Data Files / Books

  • Effective January 1

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