The modifiers listed below are used by ASCs.
Modifier |
Description |
References |
FB |
Item provided without cost to provider, supplier or practitioner, or full credit received for replaced devices (examples. but not limited to, covered under warranty, replaced due to defect, free samples). |
CMS IOM Pub. 100-04, Medicare Claims Processing Manual, Chapter 14, section 40.8 |
FC |
Partial credit received for replaced device. |
CMS IOM Pub. 100-04, Medicare Claims Processing Manual, Chapter 14, section 40.8 |
LT |
Left side (used to identify procedures performed on the left side of the body) |
Anatomical modifiers Modifier 50 fact sheet |
PA |
Surgery performed on the wrong body part. |
MLN Matters article MM6718, Requirements to prevent the misuse of modifiers PA, PB and PC on incoming claims |
PB |
Surgical or otherwise invasive procedure on the wrong patient. |
MLN Matters article MM6718, Requirements to prevent the misuse of modifiers PA, PB and PC on incoming claims |
PC |
Wrong surgery or other invasive procedure on patient |
MLN Matters article MM6718, Requirements to prevent the misuse of modifiers PA, PB and PC on incoming claims |
RT |
Right side (used to identify procedures performed on the right side of the body) |
Anatomical modifiers Modifier 50 fact sheet |
TC |
Technical component: Under certain circumstances a charge may be made for the technical component alone. Under those circumstances the technical component charge is identified by adding modifier TC to the usual procedure code number. Note for ASCs: This modifier must be reported for facility charges associated with HCPCS codes that have both a technical and professional component (e.g., radiology services) under the Medicare Physician Fee Schedule (MPFS). |
TC modifier fact sheet |
52 |
Reduced services: Under certain circumstances a service or procedure is partially reduced or eliminated at the physician’s discretion. Under these circumstances the service provided can be identified by its usual procedure number and the addition of the modifier 52, signifying that the service is reduced. This provides a means of reporting reduced services without disturbing the identification of the basic service. |
Modifier 52 fact sheet |
73 |
Discontinued out-patient hospital/ ASC procedure prior to the administration of anesthesia. Due to extenuating circumstances or threaten patient well-being: Prior to procedure started/patient's surgical preparation (including sedation or taken to procedure room) Prior to administration of anesthesia (local, regional block or general). |
Modifier 73 fact sheet |
74 |
Discontinued out-patient hospital/ ASC procedure after administration of anesthesia: Due to extenuating circumstances, or those that threaten the well-being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s) or general) or after the procedure was started (incision made, intubation started, scope inserted, etc.). Under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of the modifier 74. Note: The elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. For physician reporting of a discontinued procedure, see modifier 53 fact sheet |
Modifier 74 fact sheet |
Loading...
