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Miranda Modifiers
Term | Definition |
---|---|
-22 | Increased Procedural Service (triggers an audit) Indicates services significantly greater than usual |
-23 | Unusual Anesthesia Use of anesthesia where no anesthesia or local would be the norm, Only used with anesthesia codes Highly agitated senile patient |
-24 | Unrelated E/M Services by Same Physician or other qualified health care professional during a postoperative global period |
-25 | Significant, Separately Identifiable E/M service, by the same physician or other qualified health care professional and same day of procedure or other service |
-26 | Professional Component |
-32 | Mandated service Mandated by payer, workers’ comp or official body. |
-33 | Preventive Services |
-47 | Anesthesia by Surgeon Physician administers regional or general anesthesia and Only used with Surgery codes |
-50 | Bilateral Procedure |
-51 | Multiple Procedure-Three Types Same procedure, different sites Multiple operation (s), Same operative session Procedure Performed Multiple Times |
-52 | Reduced Services |
-53 | Discontinued Procedure Surgical/diagnostic procedures, Started then stopped due to patient’s condition |
-54 | Surgical Care Only Physician provides only procedure (intraoperative) |
-55 | Postoperative Management Only Physician provides care only after hospital discharge |
-56 | Preoperative Management only Physician provided only preoperative care |
-57 | Decision for surgery used with E/M, 99201-99499 Medicine, 92012-92014 ophthalmologic services |
-58 | Staged/Related Procedure/Service by Same Physician or Other Qualified Health Care Professional During Postoperative Period Subsequent procedure planned or related to the first surgery |
-59 | Distinct Procedural service Different session or encounter, procedure, and/or site Separate incision, excision, lesion, injury |
-62 | Two surgeons |
-63 | Procedure performed on infants less than 4kg |
-66 | Surgical team |
-77 | Repeat Procedure/Service by Another Physician or Other Qualified Health Care Professional |
-78 | Unplanned Return to Operating/Procedure Room Same Physician Following Initial Procedure for a Related Procedure During Postoperative Period |
-79 | 79 Unrelated Procedure or Service by Same Physician or Other Qualified Health Care Professional During Postoperative Period |
-80/-81 | Assistant and Minimum Assistant Surgeons |
-82 | Assistant Surgeon |
-90 | Reference (outside) Laboratory |
-91 | Repeat Clinical Diagnostic Laboratory Test |
-92 | Alternative Laboratory Platform Testing |
-99 | Multiple Modifiers |