![]() Six or more patients served (portable x-ray) Investigational clinical service provided in a clinical research study that is in an approved clinical research study Routine clinical service provided in a clinical research study that is in an approved clinical research study Used to identify telehealth services furnished for purposes of diagnosis, evaluation, or treatment of symptoms of an acute stroke.Īttending physician is not employed or paid under agreement by the patient's Hospice providerĬondition not related to the patient's terminal conditionĭrug amount discarded/not administered to any patientĭiagnostic or related non diagnostic service within three-day inpatient admitĬolorectal cancer screening test converted to diagnostic test or other procedure./td> Opt-out physicians billing on an emergency basis for non-contracted patients. ![]() ![]() Service has been performed in part by a resident under the direction of a teaching physician Unrelated evaluation and management during post-op global period Split (or shared) evaluation and management visit Item or service furnished to ESRD patient - not for ESRD treatmentĬomputed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard Multiple Modifiers (same line, same code) Unrelated procedure or service by same physician during postoperative period Return to Operating Room for related surgery during post op period Prior Discontinued Ambulatory Surgical Center (ASC) or Outpatient HospitalĪfter Anesthesia Administration - Discontinued Ambulatory Surgical Center (ASC) or Outpatient Hospital Staged or Related Procedure or Service During Postoperative Period by Same Physician Professional Component Only (separate from technical component)ĭiscontinued Procedure (professional services only)Īn evaluation and management (E/M) service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service. Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service Unrelated evaluation and management service by the same physician during a postoperative period Increased Procedural Services (surgical/procedures codes only)
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