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ALL MEDICAL CODES IN CATEGORY HCPCS Modifiers

2025 HCPCS code M-KB

Modifier indicating beneficiary requested upgrade with ABN and more than four modifiers on the claim.

2025 HCPCS code EY

No physician or other licensed health care provider order for this item or service.

2025 HCPCS code T8

Right foot, fourth digit.

2025 HCPCS code T1

Left foot, second digit.

2025 HCPCS code M-N2

Indicates that the service meets group 2 oxygen coverage criteria.

2025 HCPCS code M-HD

Identifies services provided as part of a program for pregnant or parenting women.

2025 HCPCS code M-Q4

Indicates a service exemption for a referring physician with a financial relationship with another provider.

2025 HCPCS code M-JW

This modifier indicates that a portion of a single-dose drug vial was discarded after administering a part to the patient.

2025 HCPCS code M-N3

Indicates that the service meets group 3 oxygen coverage criteria.

2025 HCPCS code M-TD

This modifier indicates that a registered nurse (RN) provided services to a patient.

2025 HCPCS code M-Q9

Modifier for routine foot care with one class B and two class C findings.

2025 HCPCS code M-CK

Indicates 40-60% impairment with limited movement.

2025 HCPCS code M-GT

Modifier M-GT indicates the use of real-time audio-visual conferencing in telehealth encounters.

2025 HCPCS code M-ST

HCPCS modifier M-ST is appended to codes for services rendered to trauma or injury patients.

2025 HCPCS code M-HT

Modifier M-HT indicates that a multidisciplinary team, not solely physicians, provided behavioral health services.

2025 HCPCS code M-AX

HCPCS modifier indicating dialysis supplies or equipment not specifically identified as such in the code descriptor.

2025 HCPCS code M-TF

This modifier indicates that the patient receives an intermediate level of care.

2025 HCPCS code M-SJ

Modifier for additional concurrently administered intravenous infusion drugs in the home.

2025 HCPCS code M-TG

Indicates a complex or high level of care for a patient, considering the type and amount of assistance needed.

2025 HCPCS code M-GV

Identifies the attending physician as not employed by or under payment arrangement with the patient's hospice provider.

2025 HCPCS code M-QD

This modifier indicates recording and storage of voice data by a digital recorder in solid-state memory. It's for informational purposes and doesn't affect payment.

2025 HCPCS Modifier code M-CS

This modifier indicates that cost-sharing is waived for specified COVID-19 testing-related services.

2025 HCPCS code M-KC

Modifier for replacement of special power wheelchair interface in competitive bidding.

2025 HCPCS code M-CN

Modifier CN indicates 100% impairment with limited movement.

2025 HCPCS code M-GF

Modifier indicating services rendered by a non-physician provider in a critical access hospital.

2025 HCPCS code M-SH

Second concurrently administered intravenous infusion therapy in the patient's home.

2025 HCPCS code M-FY

Modifier indicating cassette-based imaging in radiology.

2025 HCPCS code M-VP

Modifier M-VP indicates the patient is aphakic (lacking an eye lens).

2025 HCPCS code M-SQ

Indicates that an item ordered is for home health services in a patient's home.

2025 HCPCS code M-EJ

Modifier EJ indicates subsequent claims for a defined course of therapy (e.g., EPO, sodium hyaluronate, infliximab).

2025 HCPCS code J3

Used when a CAP-enrolled provider obtains a drug not available from a CAP vendor, and reimbursement is based on the Average Sales Price (ASP) methodology.

2025 HCPCS code M-CB

Service ordered by a renal dialysis facility (RDF) physician for an ESRD patient's dialysis benefit; not part of the composite rate and is separately reimbursable.

2025 HCPCS code M-Q1

Modifier Q1 indicates a routine clinical service provided to a patient in an approved clinical research study.

2025 HCPCS code M-FR

Indicates the supervising practitioner was present virtually via two-way audio/video communication technology.

2025 HCPCS code M-JZ

Append modifier M-JZ to a drug or biological supply code when no portion is discarded after administration from a single-use vial or package.

2025 HCPCS Modifier code M-MD

Indicates that a provider did not access a clinical decision support mechanism (CDSM) due to uncontrollable circumstances or significant hardship.

2025 HCPCS code M-TK

This modifier indicates the transport of a patient and an extra passenger (caregiver or additional patient) in a non-ambulance vehicle.

2025 HCPCS code M-QC

Modifier indicating single-channel monitoring; does not affect payment.

2025 HCPCS code M-AI

Identifies the principal physician responsible for a patient's overall inpatient care.

2025 HCPCS code M-AR

HCPCS modifier M-AR indicates physician services in a physician scarcity area (HPSA).

2025 HCPCS code M-JL

Indicates a three-month supply of a drug or biological.

2025 HCPCS code F7

Right hand, third digit.

2025 HCPCS code Q6

Service provided by a substitute physician or physical therapist under a fee-for-time agreement in underserved areas.

2025 HCPCS code M-FP

Indicates a service is part of a family planning program.

2025 HCPCS code M-SB

Use modifier M-SB when a nurse-midwife performs a non-surgical service.

2025 HCPCS code M-BO

Modifier for orally administered enteral nutrition.

2025 HCPCS code M-Q2

This modifier indicates that a service was part of a Medicare demonstration project.

2025 HCPCS code M-SD

Modifier for infusion services provided by a registered nurse at home to patients with chronic illnesses.

2025 HCPCS code M-KZ

Modifier KZ indicates a cardioverter defibrillator (ICD) implant for a new indication not covered by prior managed care or Medicare Advantage guidelines.

2025 HCPCS Modifier code M-US

Indicates that six or more patients received services at the same location during a single visit by the provider.