HCPCS Level II Modifiers
383 national two-character HCPCS Level II modifiers (2026). Modifiers are appended to a procedure or supply code to add detail without changing its core definition.
A1
Dressing for one wound
A2
Dressing for two wounds
A3
Dressing for three wounds
A4
Dressing for four wounds
A5
Dressing for five wounds
A6
Dressing for six wounds
A7
Dressing for seven wounds
A8
Dressing for eight wounds
A9
Dressing for nine or more wounds
AA
Anesthesia services performed personally by anesthesiologist
AB
Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary
AD
Medical supervision by a physician: more than four concurrent anesthesia procedures
AE
Registered dietician
AF
Specialty physician
AG
Primary physician
AH
Clinical psychologist
AI
Principal physician of record
AJ
Clinical social worker
AK
Non participating physician
AM
Physician, team member service
AO
Alternate payment method declined by provider of service
AP
Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
AQ
Physician providing a service in an unlisted health professional shortage area (hpsa)
AR
Physician provider services in a physician scarcity area
AS
Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
AT
Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
AU
Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
AV
Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
AW
Item furnished in conjunction with a surgical dressing
AX
Item furnished in conjunction with dialysis services
AY
Item or service furnished to an esrd patient that is not for the treatment of esrd
AZ
Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
BA
Item furnished in conjunction with parenteral enteral nutrition (pen) services
BL
Special acquisition of blood and blood products
BO
Orally administered nutrition, not by feeding tube
BP
The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
BR
The beneficiary has been informed of the purchase and rental options and has elected to rent the item
BU
The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision
CA
Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
CB
Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable
CC
Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CD
Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
CE
Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
CF
Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
CG
Policy criteria applied
CH
0 percent impaired, limited or restricted
CI
At least 1 percent but less than 20 percent impaired, limited or restricted
CJ
At least 20 percent but less than 40 percent impaired, limited or restricted
CK
At least 40 percent but less than 60 percent impaired, limited or restricted
CL
At least 60 percent but less than 80 percent impaired, limited or restricted
CM
At least 80 percent but less than 100 percent impaired, limited or restricted
CN
100 percent impaired, limited or restricted
CO
Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
CP
Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim
CQ
Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
CR
Catastrophe/disaster related
CS
Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency
CT
Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard
DA
Oral health assessment by a licensed health professional other than a dentist
E1
Upper left, eyelid
E2
Lower left, eyelid
E3
Upper right, eyelid
E4
Lower right, eyelid
EA
Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy
EB
Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy
EC
Erythropoietic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy
ED
Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
EE
Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
EJ
Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab
EM
Emergency reserve supply (for esrd benefit only)
EP
Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program
ER
Items and services furnished by a provider-based, off-campus emergency department
ET
Emergency services
EX
Expatriate beneficiary
EY
No physician or other licensed health care provider order for this item or service
F1
Left hand, second digit
F2
Left hand, third digit
F3
Left hand, fourth digit
F4
Left hand, fifth digit
F5
Right hand, thumb
F6
Right hand, second digit
F7
Right hand, third digit
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
FQ
The service was furnished using audio-only communication technology
FR
The supervising practitioner was present through two-way, audio/video communication technology
FS
Split (or shared) evaluation and management visit
FT
Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)
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
GC
This service has been performed in part by a resident under the direction of a teaching physician
GD
Units of service exceeds medically unlikely edit value and represents reasonable and necessary services
GE
This service has been performed by a resident without the presence of a teaching physician under the primary care exception
GF
Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
GG
Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
GH
Diagnostic mammogram converted from screening mammogram on same day
GJ
"opt out" physician or practitioner emergency or urgent service
GK
Reasonable and necessary item/service associated with a ga or gz modifier
GL
Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
GM
Multiple patients on one ambulance trip
GN
Services delivered under an outpatient speech language pathology plan of care
GO
Services delivered under an outpatient occupational therapy plan of care
GP
Services delivered under an outpatient physical therapy plan of care
GQ
Via asynchronous telecommunications system
GR
This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
GS
Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
GT
Via interactive audio and video telecommunication systems
GU
Waiver of liability statement issued as required by payer policy, routine notice
GV
Attending physician not employed or paid under arrangement by the patient's hospice provider
GW
Service not related to the hospice patient's terminal condition
GX
Notice of liability issued, voluntary under payer policy
GY
Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZ
Item or service expected to be denied as not reasonable and necessary
H9
Court-ordered
HA
Child/adolescent program
HB
Adult program, non geriatric
HC
Adult program, geriatric
HD
Pregnant/parenting women's program
HE
Mental health program
HF
Substance abuse program
HG
Opioid addiction treatment program
HH
Integrated mental health/substance abuse program
HI
Integrated mental health and intellectual disability/developmental disabilities program
HJ
Employee assistance program
HK
Specialized mental health programs for high-risk populations
HL
Intern
HM
Less than bachelor degree level
HN
Bachelors degree level
HO
Masters degree level
HP
Doctoral level
HQ
Group setting
HR
Family/couple with client present
HS
Family/couple without client present
HT
Multi-disciplinary team
HU
Funded by child welfare agency
HV
Funded state addictions agency
HW
Funded by state mental health agency
HX
Funded by county/local agency
HY
Funded by juvenile justice agency
HZ
Funded by criminal justice agency
J1
Competitive acquisition program no-pay submission for a prescription number
J2
Competitive acquisition program, restocking of emergency drugs after emergency administration
J3
Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
J4
Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
J5
Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
JA
Administered intravenously
JB
Administered subcutaneously
JC
Skin substitute used as a graft
JD
Skin substitute not used as a graft
JE
Administered via dialysate
JF
Compounded drug
JG
Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
JK
One month supply or less of drug or biological
JL
Three month supply of drug or biological
JW
Drug amount discarded/not administered to any patient
JZ
Zero drug amount discarded/not administered to any patient
K0
Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
K1
Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.
K2
Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator.
K3
Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.
K4
Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.
KA
Add on option/accessory for wheelchair
KB
Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim
KC
Replacement of special power wheelchair interface
KD
Drug or biological infused through dme
KE
Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment
KF
Item designated by fda as class iii device
KG
Dmepos item subject to dmepos competitive bidding program number 1
KH
Dmepos item, initial claim, purchase or first month rental
KI
Dmepos item, second or third month rental
KJ
Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
KK
Dmepos item subject to dmepos competitive bidding program number 2
KL
Dmepos item delivered via mail
KM
Replacement of facial prosthesis including new impression/moulage
KN
Replacement of facial prosthesis using previous master model
KO
Single drug unit dose formulation
KP
First drug of a multiple drug unit dose formulation
KQ
Second or subsequent drug of a multiple drug unit dose formulation
KR
Rental item, billing for partial month
KS
Glucose monitor supply for diabetic beneficiary not treated with insulin
KT
Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
KU
Dmepos item subject to dmepos competitive bidding program number 3
KV
Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
KW
Dmepos item subject to dmepos competitive bidding program number 4
KX
Requirements specified in the medical policy have been met
KY
Dmepos item subject to dmepos competitive bidding program number 5
KZ
New coverage not implemented by managed care
L1
Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps
LC
Left circumflex coronary artery
LD
Left anterior descending coronary artery
LL
Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
LM
Left main coronary artery
LR
Laboratory round trip
LS
Fda-monitored intraocular lens implant
LT
Left side (used to identify procedures performed on the left side of the body)
LU
Fractionated payment
M2
Medicare secondary payer (msp)
MA
Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
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
N1
Group 1 oxygen coverage criteria met
N2
Group 2 oxygen coverage criteria met
N3
Group 3 oxygen coverage criteria met
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
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
QC
Single channel monitoring
QD
Recording and storage in solid state memory by a digital recorder
QE
Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)
QF
Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed
QG
Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)
QH
Oxygen conserving device is being used with an oxygen delivery system
QJ
Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)
QK
Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
QL
Patient pronounced dead after ambulance called
QM
Ambulance service provided under arrangement by a provider of services
QN
Ambulance service furnished directly by a provider of services
QP
Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060.
QQ
Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional
QR
Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)
QS
Monitored anesthesia care service
QT
Recording and storage on tape by an analog tape recorder
QW
Clia waived test
QX
Crna service: with medical direction by a physician
QY
Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist
QZ
Crna service: without medical direction by a physician
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
SN
Third surgical opinion
SQ
Item ordered by home health
SS
Home infusion services provided in the infusion suite of the iv therapy provider
ST
Related to trauma or injury
SU
Procedure performed in physician's office (to denote use of facility and equipment)
SV
Pharmaceuticals delivered to patient's home but not utilized
SW
Services provided by a certified diabetic educator
SY
Persons who are in close contact with member of high-risk population (use only with codes for immunization)
SZ
Habilitative services
T1
Left foot, second digit
T2
Left foot, third digit
T3
Left foot, fourth digit
T4
Left foot, fifth digit
T5
Right foot, great toe
T6
Right foot, second digit
T7
Right foot, third digit
T8
Right foot, fourth digit
T9
Right foot, fifth digit
TA
Left foot, great toe
TB
Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
TC
Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
TD
Rn
TE
Lpn/lvn
TF
Intermediate level of care
TG
Complex/high tech level of care
TH
Obstetrical treatment/services, prenatal or postpartum
TJ
Program group, child and/or adolescent
TK
Extra patient or passenger, non-ambulance
TL
Early intervention/individualized family service plan (ifsp)
TM
Individualized education program (iep)
TN
Rural/outside providers' customary service area
TP
Medical transport, unloaded vehicle
TQ
Basic life support transport by a volunteer ambulance provider
TR
School-based individualized education program (iep) services provided outside the public school district responsible for the student
TS
Follow-up service
TT
Individualized service provided to more than one patient in same setting
TU
Special payment rate, overtime
TV
Special payment rates, holidays/weekends
TW
Back-up equipment
U1
Medicaid level of care 1, as defined by each state
U2
Medicaid level of care 2, as defined by each state
U3
Medicaid level of care 3, as defined by each state
U4
Medicaid level of care 4, as defined by each state
U5
Medicaid level of care 5, as defined by each state
U6
Medicaid level of care 6, as defined by each state
U7
Medicaid level of care 7, as defined by each state
U8
Medicaid level of care 8, as defined by each state
U9
Medicaid level of care 9, as defined by each state
UA
Medicaid level of care 10, as defined by each state
UB
Medicaid level of care 11, as defined by each state
UC
Medicaid level of care 12, as defined by each state
UD
Medicaid level of care 13, as defined by each state
UE
Used durable medical equipment
UF
Services provided in the morning
UG
Services provided in the afternoon
UH
Services provided in the evening
UJ
Services provided at night
UK
Services provided on behalf of the client to someone other than the client (collateral relationship)
UN
Two patients served
UP
Three patients served
UQ
Four patients served
UR
Five patients served
US
Six or more patients served
V1
Demonstration modifier 1
V2
Demonstration modifier 2
V3
Demonstration modifier 3
V4
Demonstration modifier 4
V5
Vascular catheter (alone or with any other vascular access)
V6
Arteriovenous graft (or other vascular access not including a vascular catheter)
V7
Arteriovenous fistula only (in use with two needles)
V8
Infection present
V9
No infection present
VM
Medicare diabetes prevention program (mdpp) virtual make-up session
VP
Aphakic patient
X1
Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care
X2
Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services
X3
Episodic/broad services: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital
X4
Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
X5
Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
XE
Separate encounter, a service that is distinct because it occurred during a separate encounter
XP
Separate practitioner, a service that is distinct because it was performed by a different practitioner
XS
Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU
Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
ZA
Novartis/sandoz
ZB
Pfizer/hospira
ZC
Merck/samsung bioepis