2025 HCPCS code PA
(Active) Effective Date: N/A Revision Date: N/A Modifiers - Surgical Modifiers Feed
Wrong Body Part
The use of this modifier signifies that the procedure performed was not medically necessary as it was performed on the incorrect site.
The responsibility lies with the provider who performed the surgery or invasive procedure on the wrong body part.
In simple words: This code is used when a surgery or other invasive procedure is done on the wrong body part by mistake. It tells the insurance company not to pay for it.
Indicates a surgical or other invasive procedure performed on the wrong body part due to an error. This modifier signals to the payer, including Medicare, that the service should not be reimbursed.
Example 1: A surgeon mistakenly performs a carpal tunnel release on the left hand instead of the documented right hand., During a cataract surgery, the wrong eye is operated on., A biopsy is taken from the wrong side of the patient’s body.
The operative report should clearly document the wrong-site surgery and the circumstances surrounding the error. The patient's consent form should be included to confirm the intended surgical site.
** Use of modifier PA can significantly impact malpractice risk.
- Payment Status: Not Payable
- Specialties:Surgery
- Place of Service:"Inpatient Hospital","Ambulatory Surgical Center","Military Treatment Facility"