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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
MB
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access
 
MC
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues
 
MD
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances
 
ME
The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
 
MF
The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
 
MG
The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional
 
MH
Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
 
MS
Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
 
NB
Nebulizer system, any type, fda-cleared for use with specific drug
 
NR
New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
 
NU
New equipment
 
P1
A normal healthy patient
 
P2
A patient with mild systemic disease
 
P3
A patient with severe systemic disease
 
P4
A patient with severe systemic disease that is a constant threat to life
 
P5
A moribund patient who is not expected to survive without the operation
 
P6
A declared brain-dead patient whose organs are being removed for donor purposes
 
PA
Surgical or other invasive procedure on wrong body part
 
PB
Surgical or other invasive procedure on wrong patient
 
PC
Wrong surgery or other invasive procedure on patient
 
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