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ALL MEDICAL CODES IN CATEGORY Modifiers

2025 HCPCS code M-KB

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

2025 HCPCS code AA

Anesthesia services performed personally by anesthesiologist.

2025 HCPCS code A1

Surgical dressing for a single wound.

2025 HCPCS code A5

Modifier A5 is appended to a HCPCS code to identify a surgical dressing used for dressing five wounds.

2025 HCPCS code M-UD

Modifier UD is used to report services related to a Medicaid level of care 13, as defined by each state.

2025 HCPCS code F1

Left hand, second digit. This modifier is used to identify a procedure performed on the second digit (index finger) of the left hand.

2025 HCPCS code BA

Item furnished in conjunction with parenteral enteral nutrition (PEN) services.

2025 HCPCS Modifier code CI

Indicates the patient is at least 1 percent but less than 20 percent impaired, with limited or restricted movement.

2025 HCPCS code CF

Automated Multi-Channel Chemistry (AMCC) test ordered by an ESRD facility or MCP physician that is not part of the composite rate and is separately billable.

2025 HCPCS code F5

Right hand, thumb.

2025 HCPCS code HV

Modifier used to indicate that a behavioral health service is funded by a state addictions agency.

2025 HCPCS Modifier code QH

Oxygen conserving device is being used with an oxygen delivery system.

2025 HCPCS code T2

Left foot, third digit.

2025 HCPCS code BL

Modifier BL is used to indicate special acquisition of blood and blood products.

2025 HCPCS code CG

Policy criteria applied. This modifier indicates that the provider has applied specific policy criteria to the reported service, often for demonstrating coverage compliance or bypassing edits.

2025 HCPCS code M-AE

Services provided by a registered dietician.

2025 HCPCS code V6

Arteriovenous graft (or other vascular access not including a vascular catheter) for hemodialysis.

2025 HCPCS code GQ

Via asynchronous telecommunications system.This modifier indicates that the service was rendered via an asynchronous telecommunications system.

2025 HCPCS code F8

Right hand, fourth digit.

2025 HCPCS code 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.

2025 HCPCS code ET

Emergency services.

2025 HCPCS code F7

Right hand, third digit.

2025 HCPCS code CE

Indicates an automated multi-channel laboratory (AMCC) test performed on an ESRD patient undergoing maintenance dialysis that is beyond the normal frequency limit covered by the composite reimbursement and is separately payable.

2025 HCPCS code GS

Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level.

2025 HCPCS code M-EA

Modifier used to indicate that an erythropoietic stimulating agent (ESA) was administered to treat anemia caused by anti-cancer chemotherapy.

2025 HCPCS code M-EM

Modifier EM is used to report an emergency reserve supply of an erythropoiesis stimulating agent (ESA) for home hemodialysis patients with end-stage renal disease (ESRD) who self-administer the medication.

2025 HCPCS code EY

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

2025 HCPCS code JA

Administered intravenously.

2025 HCPCS code GH

Modifier GH is used to indicate that a screening mammogram was converted to a diagnostic mammogram on the same day, during a single exam.

2025 HCPCS code HX

Indicates that the provider receives funds from a county or local agency to provide therapy to a patient.

2025 HCPCS code HW

This modifier is appended to a behavioral health service code to indicate that the provider receives funding from a state mental health agency for the therapy provided to the patient.

2025 HCPCS code HS

Family/couple without client present. This modifier is appended to a behavioral health service code to indicate that the provider met with the family or partner of a client without the client being present.

2025 HCPCS code PA

Wrong Body Part

2025 HCPCS code J5

Off-the-shelf orthotic, subject to the DMEPOS Competitive Bidding Program, furnished as part of a physical or occupational therapist service.

2025 HCPCS code KN

Replacement of facial prosthesis using previous master model.

2025 HCPCS code PO

Excepted service provided at an off-campus, outpatient, provider-based department of a hospital.

2025 HCPCS Modifier code PL

Progressive addition lenses. This modifier indicates that the service or procedure performed involves progressive additional lenses.

2025 HCPCS code P1

A normal healthy patient.

2025 HCPCS code P5

Modifier P5 indicates anesthesia services provided to a critically ill or injured patient who requires a life-saving operation.

2025 HCPCS code QL

Modifier QL is used to indicate that a patient was pronounced dead after an ambulance was called, but before transport.

2025 HCPCS code QY

Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist.

2025 HCPCS code QS

Monitored anesthesia care service.

2025 HCPCS code P6

A declared brain-dead patient whose organs are being removed for donor purposes.

2025 HCPCS code QX

CRNA service with medical direction by a physician.

2025 HCPCS code KX

Modifier KX signifies that the healthcare provider has documented the medical necessity for a service that exceeds usual limits or doesn't meet standard coverage criteria.

2025 HCPCS code KJ

Modifier KJ is used to indicate rental of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Parenteral Enteral Nutrition (PEN) pumps, or other capped rental items for months four through fifteen.

2025 HCPCS code KK

DMEPOS item subject to DMEPOS competitive bidding program number two.

2025 HCPCS code KT

This modifier is used when a beneficiary residing in a Competitive Bidding Area (CBA) receives a competitive bid item while traveling outside that area.

2025 HCPCS code MH

This modifier is used when it is unknown whether the ordering professional consulted the clinical decision support mechanism (CDSM) for the service, or if the related information was not provided to the furnishing professional or provider.

2025 HCPCS code QG

Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (LPM).