| Codes | Official Description | Common Description |
|---|---|---|
| -AS | Assistant Surgeon | Assistant only for Medicare (Medicare will not accept -80) |
| -XE | Separate Encounter | |
| -XP | Separate Practitioner | |
| -XS | Separate Structure | |
| -XU | Unusual Non-Overlapping Service | |
| -22 | Increased Procedural Services | |
| -25 | Minor surgery that has 0-10 days global period such as injections | |
| -26 | Professional Component | |
| -50 | Bilateral Procedure | |
| -51 | Multiple Procedures | |
| -52 | Reduced Services | |
| -53 | Discontinued Procedure | - Description: Modifier 53 is used to indicate that a surgical or diagnostic procedure was started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient. - Usage: This modifier is appended to the CPT code for the procedure that was started but not completed. It is used when the procedure is terminated after anesthesia is administered and the procedure has begun. - Documentation: When using Modifier 53, it is important to provide detailed documentation explaining why the procedure was discontinued, including the percentage of the procedure that was completed and the specific circumstances that led to the termination. - Payment: Payment for procedures reported with Modifier 53 is typically based on the percentage of the procedure that was completed. The exact reimbursement may vary depending on the payer's policies." |
| -58 | Staged Procedure | |
| -59 | Distinct Procedural Service | |
| -62 | Two Surgeons | |
| -76 | Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional | |
| -78 | Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period | |
| -80 | Assistant Surgeon | Assistant for all non-Medicare payors |
| -81 | Minimum Assistant Surgeon | |
| -82 | Assistant Surgeon (When qualified Resident Surgeon is not available) | |
| -95 | Synchoronous Telemedicine service via real time video and audio | Telemedicine |
| -92 | Performed by a PTP | |
| -93 | Interpreter needed at time of exam | |
| -96 | Performed by a Psychiatrist or Psychologist | |
| -17 | P&S Eval | |
| -24 | Unrelated EM during Post op | |
| -25 | Significant and Separate EM Service | |
| -57 | Decision for surgery (procedure w/90 day global) | |
| -77 | Repeat Procedure Different provider same day |