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HCPCS Modifiers

HCPCS Modifiers - Modifiers for HCPCS codes

 

Modifiers for HCPCS codes
F8
Right hand, fourth digit
 
F9
Right hand, fifth digit
 
FA
Left hand, thumb
 
FB
Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)
 
FC
Partial credit received for replaced device
 
FP
Service provided as part of family planning program
 
FX
X-ray taken using film
 
FY
X-ray taken using computed radiography technology/cassette-based imaging
 
G0
Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke
 
G1
Most recent urr reading of less than 60
 
G2
Most recent urr reading of 60 to 64.9
 
G3
Most recent urr reading of 65 to 69.9
 
G4
Most recent urr reading of 70 to 74.9
 
G5
Most recent urr reading of 75 or greater
 
G6
Esrd patient for whom less than six dialysis sessions have been provided in a month
 
G7
Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening
 
G8
Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure
 
G9
Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition
 
GA
Waiver of liability statement issued as required by payer policy, individual case
 
GB
Claim being re-submitted for payment because it is no longer covered under a global payment demonstration
 
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