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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
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
 
PD
Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days
 
PI
Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing
 
PL
Progressive addition lenses
 
PM
Post mortem
 
PN
Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
 
PO
Excepted service provided at an off-campus, outpatient, provider-based department of a hospital
 
PS
Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy
 
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