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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
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
 
PT
Colorectal cancer screening test; converted to diagnostic test or other procedure
 
Q0
Investigational clinical service provided in a clinical research study that is in an approved clinical research study
 
Q1
Routine clinical service provided in a clinical research study that is in an approved clinical research study
 
Q2
Demonstration procedure/service
 
Q3
Live kidney donor surgery and related services
 
Q4
Service for ordering/referring physician qualifies as a service exemption
 
Q5
Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
 
Q6
Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
 
Q7
One class a finding
 
Q8
Two class b findings
 
Q9
One class b and two class c findings
 
QA
Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Less Than 1 Liter Per Minute (LPM)
 
QB
Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Exceeds 4 Liters Per Minute (LPM) And Portable Oxygen Is Prescribed
 
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