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Level II National Modifiers

Year: 2000

Modifier
 Short Description
Effective Date
Discontinued
Date
       
AA
Anesthesia perf by anesgst
 1/1/84  
AB
Anesgst dir of own ees, <=4
 1/1/84 12/31/99
AC
Anesgst dir of other ees,<=4
 1/1/84 12/31/99
AD
MD supervision, >4 anes proc
 1/1/84  
AE
Resident dir, <=2 anes proc
 1/1/84 12/31/99
AF
Anes complctd by hypothermia
 1/1/84 12/31/99
AG
Anes, emer surg, lifethreat
 1/1/84 12/31/99
AH
Clinical psychologist
 1/1/91  
AJ
Clinical social worker
 1/1/91  
AK
Nurse pract, rural, team
 1/1/95 12/31/98
AL
Nurse pract, nonrural, team
 1/1/94 12/31/98
AM
Physician, team member svc
 1/1/91  
AN
PA not asst-at-surg, nonteam
 1/1/88 12/31/98
AP
No dtmn of refractive state
 1/1/84  
AS
Assistant at surgery service
 1/1/88  
AT
Acute treatment
 1/1/84  
AU
PA not asst-at-surg, team
 1/1/91 12/31/98
AV
Nurse pract, rural, nonteam
 1/1/92 12/31/98
AW
Clin nurse spcst, nonteam
 1/1/92 12/31/98
AY
Clin nurse spcst, team
 1/1/92 12/31/98
BP
Bene electd to purchase item
 1/1/92  
BR
Bene elected to rent item
 1/1/92  
BU
Bene undecided on purch/rent
 1/1/92  
CC
Procedure code change
 1/1/90  
DD
Powdered enteral formulae
 1/1/84 12/31/96
EJ
Subsequent claim
 1/1/91  
EM
Emer reserve supply (ESRD)
 1/1/91  
EP
Medicaid EPSDT program svc
 1/1/87  
ET
Emergency treatment
 1/1/84  
E1
Upper left eyelid
 1/1/95  
E2
Lower left eyelid
 1/1/95  
E3
Upper right eyelid
 1/1/95  
E4
Lower right eyelid
 1/1/95  
FA
Left hand, thumb
 1/1/95  
FP
Medicaid fam plng prog svc
 1/1/87  
F1
Left hand, second digit
 1/1/95  
F2
Left hand, third digit
 1/1/95  
F3
Left hand, fourth digit
 1/1/95  
F4
Left hand, fifth digit
 1/1/95  
F5
Right hand, thumb
 1/1/95  
F6
Right hand, second digit
 1/1/95  
F7
Right hand, third digit
 1/1/95  
F8
Right hand, fourth digit
 1/1/95  
F9
Right hand, fifth digit
 1/1/95  
GA
Waiver of Liability on file
 1/1/95  
GB
Distinct procedural service
 1/1/96 12/31/96
GC
Resident/teaching phys serv
 1/1/97  
GE
Resident prim care exception
 1/1/97  
GH
Diag mammo to screening mamo
 10/1/98  
GJ
Opt out provider of er srvc
 10/1/98  
GN
Speech-language path service
 1/1/99  
GO
Occupational therapy service
 1/1/99  
GP
Physical therapy service
 1/1/99  
GT
InteractiveTelecommunication
 1/1/99  
GX
Noncovered medicare service
 1/1/99  
G1
URR reading of less than 60
 1/1/97  
G2
URR reading of 60 to 64.9
 1/1/97  
G3
URR reading of 65 to 69.9
 1/1/97  
G4
URR reading of 70 to 74.9
 1/1/97  
G5
URR reading of 75 or greater
 1/1/97  
G6
ESRD patient <6 dialysis/mth
 5/1/98  
G7
Payment limits do not apply
 7/1/99  
G8
Monitored anesthesia care
 7/1/99  
G9
MAC for at risk patient
 7/1/99  
KA
Wheelchair add-on option/acc
 1/1/94  
KB
16 sq in or less
 1/1/93 3/29/94
KC
More than 16 but <=48 sq in
 1/1/93 3/29/94
KD
More than 48 sq in
 1/1/94 3/29/94
KE
1 ounce
 1/1/94 3/29/94
KF
1 linear yard
 1/1/94 3/29/94
KG
1 cubic centimeter
 1/1/94 3/29/94
KH
DMEPOS ini clm, pur/1 mo rnt
 1/1/94  
KI
DMEPOS 2nd or 3rd mo rental
 1/1/94  
KJ
DMEPOS PEN pmp or 4-15mo rnt
 1/1/94  
KK
Compounded inhalation sol
 1/1/93  
KL
Med policy product chars met
 1/1/93  
KM
Rplc facial prosth new imp
 1/1/96  
KN
Rplc facial prosth old mod
 1/1/96  
KO
Single drug unit dose form
 4/1/97  
KP
First drug of multi drug u d
 4/1/97  
KQ
2nd/subsqnt drg multi drg ud
 4/1/97  
KS
Glucose monitor supply
 10/1/98  
K0
Lwr ext prost functnl lvl 0
 1/1/93  
K1
Lwr ext prost functnl lvl 1
 1/1/93  
K2
Lwr ext prost functnl lvl 2
 1/1/93  
K3
Lwr ext prost functnl lvl 3
 1/1/93  
K4
Lwr ext prost functnl lvl 4
 1/1/93  
LC
Lft circum coronary artery
 1/1/97  
LD
Left ant des coronary artery
 1/1/97  
LL
Lease/rental (appld to pur)
 1/1/84  
LR
Laboratory round trip
 1/1/87  
LS
FDA-monitored IOL implant
 1/1/91  
LT
Left side
 1/1/84  
MP
Multiple patients seen
 1/1/91 12/31/95
MS
6-mo maint/svc fee parts/lbr
 1/1/89  
NR
New when rented
 1/1/84  
NU
New equipment
 1/1/84  
PL
Progressive addition lenses
 1/1/89  
QA
FDA investigational device
 1/1/96  
QB
MD prvdg svc in rural HPSA
 1/1/92  
QC
Single channel monitoring
 1/1/89  
QD
Rcrdg/strg in sld st memory
 1/1/89  
QE
Prescribed oxygen < 1 LPM
 1/1/89  
QF
Prscrbd oxygen >4 LPM & port
 1/1/89  
QG
Prescribed oxygen > 4 LPM
 1/1/89  
QH
Oxygen cnsrvg dvc w del sys
 1/1/89  
QI
Decision for surgery
 1/1/90 12/31/93
QJ
Med dir by MD: 2 cncrnt proc
 1/1/90 12/31/94
QK
Med dir 2-4 cncrnt anes proc
 1/1/95  
QL
Patient died after amb call
 1/1/99  
QM
Ambulance arr by provider
 1/1/96  
QN
Ambulance furn by provider
 1/1/96  
QO
Med dir by MD: 3 cncrnt proc
 1/1/93 12/31/94
QP
Individually ordered lab tst
 1/1/96  
QQ
Med dir by MD: 4 cncrnt proc
 1/1/92 12/31/94
QR
Repeat dx lab tst same day
 10/1/97 12/31/99
QS
Monitored anesthesia care
 1/1/90  
QT
Rcrdg/strg tape analog recdr
 1/1/89  
QU
MD providing svc urban HPSA
 1/1/91  
QV
No Description Available
 1/1/92 12/31/91
QW
CLIA waived test
 1/1/96  
QX
CRNA svc w/ MD med direction
 1/1/93  
QY
Medically directed CRNA
 1/1/98  
QZ
CRNA svc w/o med dir by MD
 1/1/93  
Q1
Mycosis/dystrophy of toenail
 1/1/95 9/30/97
Q2
CMS/ORD demo procedure/svc
 1/1/92  
Q3
Live kidney donor
 1/1/95  
Q4
Svc exempt - ordrg/rfrng MD
 1/1/94  
Q5
Subst MD svc, recip bill arr
 1/1/93  
Q6
Locum tenens MD service
 1/1/93  
Q7
One Class A finding
 1/1/95  
Q8
Two Class B findings
 1/1/95  
Q9
1 Class B & 2 Class C fndngs
 1/1/95  
RC
Right coronary artery
 1/1/97  
RP
Replacement & repair(DMEPOS)
 1/1/84  
RR
Rental (DME)
 1/1/84  
RT
Right side
 1/1/84  
SF
2nd opinion ordered by PRO
 1/1/87  
SG
ASC facility service
 1/1/92  
SP
No other pts seen at fclty
 1/1/90 12/31/95
TA
Left foot, great toe
 1/1/95  
TC
Technical component
 1/1/84  
T1
Left foot, second digit
 1/1/95  
T2
Left foot, third digit
 1/1/95  
T3
Left foot, fourth digit
 1/1/95  
T4
Left foot, fifth digit
 1/1/95  
T5
Right foot, great toe
 1/1/95  
T6
Right foot, second digit
 1/1/95  
T7
Right foot, third digit
 1/1/95  
T8
Right foot, fourth digit
 1/1/95  
T9
Right foot, fifth digit
 1/1/95  
UC
Unclassified ambulance svc
 1/1/90 12/31/95
UE
Used durable med equipment
 1/1/84  
VP
Aphakic patient
 1/1/84  
YY
Second surgical opinion
 1/1/84 12/31/96
ZZ
Third surgical opinion
 1/1/84 12/31/96


Last Updated on 3/6/01
By Michael Hadad

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