MODIFIERS APPROVED FOR HOSPITAL OUTPATIENT USE:

LEVEL1

25 Significant separately identifiable evaluation and management services by
the same physician on the same day of the procedure or other service
27 Multiple outpatient hospital E/M encounters on the same day
50 Bilateral procedure
52 Reduced services
58 Staged or related procedure or service by the same physician during the
Postoperative period
59 Distinct procedural service
73 Discontinued outpatient procedure prior to anesthesia administration
74 Discontinued outpatient procedure after to anesthesia administration
76 Repeat procedure by same physician
77 Repeat procedure by another physician
78 Return to the operating room for a related procedure during postoperative period
79 Unrelated procedure or service by the same physician during the postoperative period
91 Repeat clinical diagnostic laboratory test

MODIFIERS

22 Unusual procedural services
24 unusual anesthesia
25 Significant separately identifiable evaluation and management services by the same physician on the same day of the procedure or other service
26 Professional component
32 Mandated services
47 Anesthesia by surgeon
50 Bilateral procedure
51 Multiple procedure
52 Reduced services
53 Discontinued procedure
54 Surgical care only
55 Post operative management only
56 pre operative management only
57 Decision for surgery
58 Staged or related procedure or service by the same physician
during the postoperative period
59 Distinct procedural service
62 two surgeons
63 procedure performed on infants
66 Surgical team
76 Repeat procedure by same physician
77 Repeat procedure by another physician
79 Unrelated procedure or service by the same physician during
the postoperative period
80 Assistant surgeon
81 Minimum assistant surgeon
82 Assistant surgeon (when qualified resident surgeon not available)
90 Reference (out side) laboratory
91 Repeat clinical diagnostic laboratory test
92 Alternative laboratory platform testing
99 Multiple modifiers