Upgrade for detailed insurance, legislation, and other documents analytics for individual cases; real-time analysis of the datasets from your EHR, CRM, ERP, or other software; and more Enterprise Features.
Modifier indicating beneficiary requested upgrade with ABN and more than four modifiers on the claim.
2025 HCPCS code X5
Modifier X5 indicates that a primarily diagnostic service was rendered by a provider only at the request of another clinician.
2025 HCPCS code V6
Arteriovenous graft (or other vascular access not including a vascular catheter) for hemodialysis.
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 A1
Surgical dressing for a single wound.
2025 HCPCS code T5
Modifier T5 is used to identify a procedure performed on the great toe of the right foot.
2025 HCPCS code U6
Medicaid level of care 6, as defined by each state.
2025 HCPCS code U8
Modifier U8 is used to report services related to a Medicaid level of care 8, as defined by each state.This may relate to the amount of assistance a patient requires or the complexity of care.
2025 HCPCS code UC
Medicaid level of care 12, as defined by each state.
2025 HCPCS code T9
Right foot, fifth digit. This modifier identifies services performed on the fifth digit (toe) of a patient's right foot.
2025 HCPCS code TU
Special payment rate, overtime.
2025 HCPCS code TW
Modifier TW is used to identify back-up durable medical equipment (DME).
2025 HCPCS code T4
Left foot, fifth digit.
2025 HCPCS code QS
Monitored anesthesia care service.
2025 HCPCS code QX
CRNA service with medical direction by a physician.
2025 HCPCS code QY
Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist.
2025 HCPCS code Q8
Modifier Q8 is appended to indicate two Class B findings related to routine foot care, signifying specific conditions that justify Medicare coverage for otherwise non-covered services.
2025 HCPCS code QG
Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (LPM).
2025 HCPCS Modifier code QH
Oxygen conserving device is being used with an oxygen delivery system.
2025 HCPCS code PA
Wrong Body Part
2025 HCPCS Modifier code PL
Progressive addition lenses. This modifier indicates that the service or procedure performed involves progressive additional lenses.
2025 HCPCS code PM
Modifier PM is used to identify visits that occur after the death of a patient and on the same day as the patient’s death.
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 F5
Right hand, thumb.
2025 HCPCS code T2
Left foot, third 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 JA
Administered intravenously.
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 PO
Excepted service provided at an off-campus, outpatient, provider-based department of a hospital.
2025 HCPCS code P1
A normal healthy patient.
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 P6
A declared brain-dead patient whose organs are being removed for donor purposes.
2025 HCPCS code SL
State supplied vaccine
2025 HCPCS code T6
Right foot, second digit.
2025 HCPCS code T3
Left foot, fourth digit.
2025 HCPCS code T1
Left foot, second digit.
2025 HCPCS code T8
Right foot, fourth digit.
2025 HCPCS code SS
Home infusion services provided in the infusion suite of the IV therapy provider.
2025 HCPCS code U7
Modifier U7 is used to indicate a Medicaid level of care 7, as defined by each state.
2025 HCPCS code XS
Separate structure, a service that is distinct because it was performed on a separate organ/structure.
2025 HCPCS code XP
Separate practitioner, a service that is distinct because it was performed by a different practitioner.
2025 HCPCS code UA
Modifier UA is used to report services related to a Medicaid level of care 10, as defined by each state. This level of care may relate to the amount of assistance a patient requires, or the complexity of care.
2025 HCPCS code M-AE
Services provided by a registered dietician.
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 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 A5
Modifier A5 is appended to a HCPCS code to identify a surgical dressing used for dressing five wounds.
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.
Continue with Personal Account
Thank you for exploring iFrame ♥ Please subscribe for unlimited access to our top-tier AI model, which directly supports our dedicated knowledge creators maintaining an ad-free internet experience.