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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
RA
Replacement of a dme, orthotic or prosthetic item
 
RB
Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
 
RC
Right coronary artery
 
RD
Drug provided to beneficiary, but not administered "incident-to"
 
RE
Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
 
RI
Ramus intermedius coronary artery
 
RR
Rental (use the 'rr' modifier when dme is to be rented)
 
RT
Right side (used to identify procedures performed on the right side of the body)
 
SA
Nurse practitioner rendering service in collaboration with a physician
 
SB
Nurse midwife
 
SC
Medically necessary service or supply
 
SD
Services provided by registered nurse with specialized, highly technical home infusion training
 
SE
State and/or federally-funded programs/services
 
SF
Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)
 
SG
Ambulatory surgical center (asc) facility service
 
SH
Second concurrently administered infusion therapy
 
SJ
Third or more concurrently administered infusion therapy
 
SK
Member of high risk population (use only with codes for immunization)
 
SL
State supplied vaccine
 
SM
Second surgical opinion
 
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