candidhealth 1.9.1 → 1.12.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/BaseClient.d.ts +25 -0
- package/BaseClient.js +3 -0
- package/Client.d.ts +8 -26
- package/Client.js +77 -79
- package/README.md +7 -4
- package/api/resources/auth/client/Client.d.ts +3 -11
- package/api/resources/auth/client/Client.js +1 -3
- package/api/resources/auth/index.d.ts +1 -1
- package/api/resources/auth/index.js +1 -1
- package/api/resources/auth/resources/default/client/Client.d.ts +3 -21
- package/api/resources/auth/resources/default/client/Client.js +8 -10
- package/api/resources/auth/resources/default/client/getToken.d.ts +1 -4
- package/api/resources/auth/resources/default/client/getToken.js +1 -3
- package/api/resources/auth/resources/default/client/requests/AuthGetTokenRequest.d.ts +0 -3
- package/api/resources/auth/resources/default/client/requests/AuthGetTokenRequest.js +1 -3
- package/api/resources/auth/resources/default/client/requests/index.d.ts +1 -1
- package/api/resources/auth/resources/default/index.d.ts +1 -1
- package/api/resources/auth/resources/default/index.js +1 -1
- package/api/resources/auth/resources/default/types/AuthGetTokenResponse.d.ts +0 -3
- package/api/resources/auth/resources/default/types/AuthGetTokenResponse.js +1 -3
- package/api/resources/auth/resources/default/types/InvalidContentTypeErrorType.d.ts +0 -3
- package/api/resources/auth/resources/default/types/InvalidContentTypeErrorType.js +1 -3
- package/api/resources/auth/resources/default/types/TooManyRequestsErrorType.d.ts +0 -3
- package/api/resources/auth/resources/default/types/TooManyRequestsErrorType.js +1 -3
- package/api/resources/auth/resources/default/types/index.d.ts +1 -1
- package/api/resources/auth/resources/default/types/index.js +1 -1
- package/api/resources/billingNotes/client/Client.d.ts +3 -11
- package/api/resources/billingNotes/client/Client.js +1 -3
- package/api/resources/billingNotes/index.d.ts +1 -1
- package/api/resources/billingNotes/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/client/Client.d.ts +3 -21
- package/api/resources/billingNotes/resources/v2/client/Client.js +19 -21
- package/api/resources/billingNotes/resources/v2/client/create.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/create.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/delete.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/delete.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/index.d.ts +1 -1
- package/api/resources/billingNotes/resources/v2/client/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/client/requests/BillingNoteUpdate.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/client/requests/BillingNoteUpdate.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/requests/StandaloneBillingNoteCreate.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/requests/StandaloneBillingNoteCreate.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/requests/index.d.ts +2 -2
- package/api/resources/billingNotes/resources/v2/client/update.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/update.js +1 -3
- package/api/resources/billingNotes/resources/v2/index.d.ts +1 -1
- package/api/resources/billingNotes/resources/v2/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/types/BillingNote.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/types/BillingNote.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBase.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBase.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBaseOptional.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBaseOptional.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteId.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/types/BillingNoteId.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/index.d.ts +3 -3
- package/api/resources/billingNotes/resources/v2/types/index.js +3 -3
- package/api/resources/chargeCapture/client/Client.d.ts +3 -11
- package/api/resources/chargeCapture/client/Client.js +1 -3
- package/api/resources/chargeCapture/index.d.ts +1 -1
- package/api/resources/chargeCapture/index.js +1 -1
- package/api/resources/chargeCapture/resources/v1/client/Client.d.ts +3 -21
- package/api/resources/chargeCapture/resources/v1/client/Client.js +102 -104
- package/api/resources/chargeCapture/resources/v1/client/create.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/create.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/createFromPreEncounterPatient.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/createFromPreEncounterPatient.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/get.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/get.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/getAll.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/getAll.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/index.d.ts +2 -2
- package/api/resources/chargeCapture/resources/v1/client/index.js +3 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCapturePostBilledChangeUpdate.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCapturePostBilledChangeUpdate.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCaptureUpdate.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCaptureUpdate.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureFromPreEncounterRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureFromPreEncounterRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/GetAllChargeCapturesRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/GetAllChargeCapturesRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/index.d.ts +5 -5
- package/api/resources/chargeCapture/resources/v1/client/update.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/update.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/updatePostBilledChanges.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/updatePostBilledChanges.js +1 -3
- package/api/resources/chargeCapture/resources/v1/index.d.ts +1 -1
- package/api/resources/chargeCapture/resources/v1/index.js +1 -1
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapture.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapture.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureData.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureData.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureError.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureError.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePage.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePage.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePostBilledChange.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePostBilledChange.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureSortField.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureSortField.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureStatus.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureStatus.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeExternalIdConflictErrorMessage.d.ts +0 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeExternalIdConflictErrorMessage.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/index.d.ts +3 -3
- package/api/resources/chargeCapture/resources/v1/types/index.js +3 -3
- package/api/resources/chargeCaptureBundles/client/Client.d.ts +3 -11
- package/api/resources/chargeCaptureBundles/client/Client.js +1 -3
- package/api/resources/chargeCaptureBundles/index.d.ts +1 -1
- package/api/resources/chargeCaptureBundles/index.js +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/client/Client.d.ts +3 -21
- package/api/resources/chargeCaptureBundles/resources/v1/client/Client.js +59 -61
- package/api/resources/chargeCaptureBundles/resources/v1/client/get.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/get.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/getAll.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/getAll.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/getSummary.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/getSummary.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/index.d.ts +2 -2
- package/api/resources/chargeCaptureBundles/resources/v1/client/index.js +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/ChargeCaptureBundleErrorResolution.d.ts +0 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/ChargeCaptureBundleErrorResolution.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/GetAllChargeCaptureClaimCreationsRequest.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/GetAllChargeCaptureClaimCreationsRequest.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/index.d.ts +2 -2
- package/api/resources/chargeCaptureBundles/resources/v1/client/resolveChargeCreationError.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/resolveChargeCreationError.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/index.d.ts +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/index.js +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreation.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreation.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationPage.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationPage.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSortField.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSortField.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationStatus.d.ts +3 -7
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationStatus.js +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSummary.d.ts +0 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSummary.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/index.d.ts +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/index.js +3 -3
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreate.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreate.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreateOptional.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreateOptional.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreate.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreate.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreateOptional.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreateOptional.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/index.d.ts +2 -2
- package/api/resources/claimSubmission/resources/v1/types/index.js +2 -2
- package/api/resources/claims/types/Claim.d.ts +1 -4
- package/api/resources/claims/types/Claim.js +1 -3
- package/api/resources/claims/types/ClaimStatus.d.ts +1 -4
- package/api/resources/claims/types/ClaimStatus.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrial.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrial.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrialPhase.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrialPhase.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/MutableClinicalTrial.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/MutableClinicalTrial.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/index.d.ts +1 -1
- package/api/resources/clinicalTrials/resources/v1/types/index.js +1 -1
- package/api/resources/commons/types/AdjustmentId.d.ts +1 -4
- package/api/resources/commons/types/AdjustmentId.js +1 -3
- package/api/resources/commons/types/AppointmentId.d.ts +1 -4
- package/api/resources/commons/types/AppointmentId.js +1 -3
- package/api/resources/commons/types/BillingProviderCommercialLicenseType.d.ts +1 -4
- package/api/resources/commons/types/BillingProviderCommercialLicenseType.js +1 -3
- package/api/resources/commons/types/ChargeCaptureClaimCreationId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCaptureClaimCreationId.js +1 -3
- package/api/resources/commons/types/ChargeCaptureId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCaptureId.js +1 -3
- package/api/resources/commons/types/ChargeCapturePostBilledChangeId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCapturePostBilledChangeId.js +1 -3
- package/api/resources/commons/types/ClaimAdjustmentGroupCodes.d.ts +1 -4
- package/api/resources/commons/types/ClaimAdjustmentGroupCodes.js +1 -3
- package/api/resources/commons/types/ClaimId.d.ts +1 -4
- package/api/resources/commons/types/ClaimId.js +1 -3
- package/api/resources/commons/types/ClaimSubmissionPayerResponsibilityType.d.ts +1 -4
- package/api/resources/commons/types/ClaimSubmissionPayerResponsibilityType.js +1 -3
- package/api/resources/commons/types/Clearinghouse.d.ts +1 -4
- package/api/resources/commons/types/Clearinghouse.js +1 -3
- package/api/resources/commons/types/ClinicalTrialId.d.ts +1 -4
- package/api/resources/commons/types/ClinicalTrialId.js +1 -3
- package/api/resources/commons/types/DateRangeOptionalEnd.d.ts +1 -4
- package/api/resources/commons/types/DateRangeOptionalEnd.js +1 -3
- package/api/resources/commons/types/Date_.d.ts +1 -4
- package/api/resources/commons/types/Date_.js +1 -3
- package/api/resources/commons/types/Decimal.d.ts +1 -4
- package/api/resources/commons/types/Decimal.js +1 -3
- package/api/resources/commons/types/DelayReasonCode.d.ts +30 -49
- package/api/resources/commons/types/DelayReasonCode.js +30 -3
- package/api/resources/commons/types/Email.d.ts +1 -4
- package/api/resources/commons/types/Email.js +1 -3
- package/api/resources/commons/types/EmrPayerCrosswalk.d.ts +1 -4
- package/api/resources/commons/types/EmrPayerCrosswalk.js +1 -3
- package/api/resources/commons/types/EncounterExternalId.d.ts +1 -4
- package/api/resources/commons/types/EncounterExternalId.js +1 -3
- package/api/resources/commons/types/EncounterId.d.ts +1 -4
- package/api/resources/commons/types/EncounterId.js +1 -3
- package/api/resources/commons/types/EntityConflictErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/EntityConflictErrorMessage.js +1 -3
- package/api/resources/commons/types/EntityNotFoundErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/EntityNotFoundErrorMessage.js +1 -3
- package/api/resources/commons/types/EpsdtReferralConditionIndicatorCode.d.ts +1 -4
- package/api/resources/commons/types/EpsdtReferralConditionIndicatorCode.js +1 -3
- package/api/resources/commons/types/ErrorMessage.d.ts +1 -4
- package/api/resources/commons/types/ErrorMessage.js +1 -3
- package/api/resources/commons/types/FacilityTypeCode.d.ts +101 -154
- package/api/resources/commons/types/FacilityTypeCode.js +106 -3
- package/api/resources/commons/types/HttpServiceUnavailableErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/HttpServiceUnavailableErrorMessage.js +1 -3
- package/api/resources/commons/types/InsuranceTypeCode.d.ts +142 -217
- package/api/resources/commons/types/InsuranceTypeCode.js +142 -3
- package/api/resources/commons/types/IntendedSubmissionMedium.d.ts +2 -7
- package/api/resources/commons/types/IntendedSubmissionMedium.js +2 -3
- package/api/resources/commons/types/InvoiceId.d.ts +1 -4
- package/api/resources/commons/types/InvoiceId.js +1 -3
- package/api/resources/commons/types/LinkUrl.d.ts +1 -4
- package/api/resources/commons/types/LinkUrl.js +1 -3
- package/api/resources/commons/types/NetworkType.d.ts +43 -67
- package/api/resources/commons/types/NetworkType.js +43 -3
- package/api/resources/commons/types/NextResponsibleParty.d.ts +1 -4
- package/api/resources/commons/types/NextResponsibleParty.js +1 -3
- package/api/resources/commons/types/Npi.d.ts +1 -4
- package/api/resources/commons/types/Npi.js +1 -3
- package/api/resources/commons/types/OrganizationId.d.ts +1 -4
- package/api/resources/commons/types/OrganizationId.js +1 -3
- package/api/resources/commons/types/OrganizationNotAuthorizedErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/OrganizationNotAuthorizedErrorMessage.js +1 -3
- package/api/resources/commons/types/PageToken.d.ts +1 -4
- package/api/resources/commons/types/PageToken.js +1 -3
- package/api/resources/commons/types/PatientExternalId.d.ts +1 -4
- package/api/resources/commons/types/PatientExternalId.js +1 -3
- package/api/resources/commons/types/PatientRelationshipToInsuredCodeAll.d.ts +49 -76
- package/api/resources/commons/types/PatientRelationshipToInsuredCodeAll.js +49 -3
- package/api/resources/commons/types/PayerPlanGroupId.d.ts +1 -4
- package/api/resources/commons/types/PayerPlanGroupId.js +1 -3
- package/api/resources/commons/types/PhoneNumber.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumber.js +1 -3
- package/api/resources/commons/types/PhoneNumberOptional.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumberOptional.js +1 -3
- package/api/resources/commons/types/PhoneNumberType.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumberType.js +1 -3
- package/api/resources/commons/types/PreEncounterAppointmentId.d.ts +1 -4
- package/api/resources/commons/types/PreEncounterAppointmentId.js +1 -3
- package/api/resources/commons/types/PreEncounterPatientId.d.ts +1 -4
- package/api/resources/commons/types/PreEncounterPatientId.js +1 -3
- package/api/resources/commons/types/Primitive.d.ts +1 -4
- package/api/resources/commons/types/Primitive.js +5 -3
- package/api/resources/commons/types/ProcedureModifier.d.ts +799 -1201
- package/api/resources/commons/types/ProcedureModifier.js +799 -3
- package/api/resources/commons/types/ProviderCredentialingSpanId.d.ts +1 -4
- package/api/resources/commons/types/ProviderCredentialingSpanId.js +1 -3
- package/api/resources/commons/types/ProviderId.d.ts +1 -4
- package/api/resources/commons/types/ProviderId.js +1 -3
- package/api/resources/commons/types/QualifierCode.d.ts +1 -4
- package/api/resources/commons/types/QualifierCode.js +5 -3
- package/api/resources/commons/types/RateId.d.ts +1 -4
- package/api/resources/commons/types/RateId.js +1 -3
- package/api/resources/commons/types/RegionNational.d.ts +1 -5
- package/api/resources/commons/types/RegionNational.js +1 -3
- package/api/resources/commons/types/RegionStates.d.ts +1 -4
- package/api/resources/commons/types/RegionStates.js +1 -3
- package/api/resources/commons/types/Regions.d.ts +1 -4
- package/api/resources/commons/types/Regions.js +1 -3
- package/api/resources/commons/types/RemovableDateRangeOptionalEnd.d.ts +1 -4
- package/api/resources/commons/types/RemovableDateRangeOptionalEnd.js +1 -3
- package/api/resources/commons/types/RequestValidationError.d.ts +0 -3
- package/api/resources/commons/types/RequestValidationError.js +1 -3
- package/api/resources/commons/types/ResourcePage.d.ts +1 -4
- package/api/resources/commons/types/ResourcePage.js +1 -3
- package/api/resources/commons/types/SchemaId.d.ts +1 -4
- package/api/resources/commons/types/SchemaId.js +1 -3
- package/api/resources/commons/types/ServiceLineId.d.ts +1 -4
- package/api/resources/commons/types/ServiceLineId.js +1 -3
- package/api/resources/commons/types/ServiceLineUnits.d.ts +1 -4
- package/api/resources/commons/types/ServiceLineUnits.js +1 -3
- package/api/resources/commons/types/SortDirection.d.ts +1 -4
- package/api/resources/commons/types/SortDirection.js +5 -3
- package/api/resources/commons/types/SourceOfPaymentCode.d.ts +49 -76
- package/api/resources/commons/types/SourceOfPaymentCode.js +49 -3
- package/api/resources/commons/types/State.d.ts +1 -4
- package/api/resources/commons/types/State.js +1 -3
- package/api/resources/commons/types/StreetAddressBase.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressBase.js +1 -3
- package/api/resources/commons/types/StreetAddressLongZip.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressLongZip.js +1 -3
- package/api/resources/commons/types/StreetAddressLongZipOptional.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressLongZipOptional.js +1 -3
- package/api/resources/commons/types/StreetAddressOptionalBase.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressOptionalBase.js +1 -3
- package/api/resources/commons/types/StreetAddressShortZip.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressShortZip.js +1 -3
- package/api/resources/commons/types/StreetAddressShortZipOptional.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressShortZipOptional.js +1 -3
- package/api/resources/commons/types/TaskAssignmentId.d.ts +1 -4
- package/api/resources/commons/types/TaskAssignmentId.js +1 -3
- package/api/resources/commons/types/TaskId.d.ts +1 -4
- package/api/resources/commons/types/TaskId.js +1 -3
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- package/serialization/resources/x12/resources/v1/types/TypeOfBillFrequencyCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfBillFrequencyCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/TypeOfCareCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfCareCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/TypeOfFacilityCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfFacilityCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/index.d.ts +8 -8
- package/serialization/resources/x12/resources/v1/types/index.js +8 -8
- package/serialization/resources/yesNoIndicator/types/YesNoIndicator.d.ts +2 -5
- package/serialization/resources/yesNoIndicator/types/YesNoIndicator.js +1 -3
- package/version.d.ts +1 -1
- package/version.js +1 -1
- package/api/resources/preEncounter/resources/patients/resources/v1/types/PatientServiceFacility.d.ts +0 -10
- package/dist/api/resources/preEncounter/resources/patients/resources/v1/types/PatientServiceFacility.d.ts +0 -10
- package/dist/serialization/resources/preEncounter/resources/patients/resources/v1/types/PatientServiceFacility.d.ts +0 -13
- package/serialization/resources/preEncounter/resources/patients/resources/v1/types/PatientServiceFacility.d.ts +0 -13
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/**
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* This file was auto-generated by Fern from our API Definition.
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*/
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export type ProcedureModifier =
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/**
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* Ambulance service provided as a volunteer ambulance service organization as defined by the state */
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"AV"
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/**
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* Item furnished in conjunction with a urological, ostomy, or tracheostomy supply */
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| "AU"
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/**
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* Item furnished in conjunction with dialysis services */
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| "AW" | "07" | "08" | "09" | "10" | "11" | "12" | "13" | "14" | "15" | "16"
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/**
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* Increased Procedural Services */
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| "22"
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/**
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* Unusual Anesthesia */
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| "23"
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/**
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* Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period */
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| "24"
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/**
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* Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service */
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| "25"
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/**
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* Professional Component */
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| "26"
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/**
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* Multiple Outpatient Hospital E/M Encounters on the Same Date */
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| "27" | "28"
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/**
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* Mandated Services */
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| "32"
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/**
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* Preventive Services */
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| "33"
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/**
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* Anesthesia by Surgeon */
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| "47"
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/**
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* Bilateral Procedure */
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| "50"
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/**
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* Multiple Procedures */
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| "51"
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/**
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* Reduced Services */
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| "52"
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/**
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* Discontinued Procedure */
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| "53"
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/**
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* Surgical Care Only */
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| "54"
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/**
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* Postoperative Management Only */
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| "55"
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/**
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* Preoperative Management Only */
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| "56"
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/**
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* Decision for Surgery */
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| "57"
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/**
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* Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
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| "58"
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/**
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* Distinct Procedural Service */
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| "59"
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/**
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* Two Surgeons */
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| "62"
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/**
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* Procedure Performed on Infants less than 4 kg */
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| "63"
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/**
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* Surgical Team */
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| "66"
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/**
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* Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia */
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| "74"
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/**
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* Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional */
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| "76"
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/**
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* Repeat Procedure by Another Physician or Other Qualified Health Care Professional */
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| "77"
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/**
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* Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period */
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| "78"
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/**
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* Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
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| "79"
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/**
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* Assistant Surgeon */
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| "80"
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/**
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* Minimum Assistant Surgeon */
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| "81"
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/**
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* Assistant Surgeon (when qualified resident surgeon not available) */
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| "82"
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/**
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* Reference (Outside) Laboratory */
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| "90"
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/**
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* Repeat Clinical Diagnostic Laboratory Test */
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| "91"
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/**
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* Alternative Laboratory Platform Testing */
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| "92"
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/**
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* Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System */
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| "93"
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/**
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* Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System */
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| "95"
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/**
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* Habilitative Services */
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| "96"
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/**
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* Rehabilitative Services */
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| "97"
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/**
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* Multiple Modifiers */
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| "99"
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/**
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* Dressing for one wound */
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| "A1"
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/**
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* Dressing for two wounds */
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| "A2"
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/**
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* Dressing for three wounds */
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| "A3"
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/**
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* Dressing for four wounds */
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| "A4"
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/**
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* Dressing for five wounds */
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| "A5"
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/**
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* Dressing for six wounds */
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| "A6"
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/**
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* Dressing for seven wounds */
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| "A7"
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/**
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* Dressing for eight wounds */
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| "A8"
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/**
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* Dressing for nine wounds */
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| "A9"
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/**
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* Anesthesia services performed personally by anesthesiologist */
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| "AA"
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/**
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* Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment ... */
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| "AB"
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/**
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* Medical supervision by a physician: more than four concurrent anesthesia procedures */
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| "AD"
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/**
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* Registered dietician */
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| "AE"
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/**
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* Specialty physician */
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| "AF"
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/**
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* Primary physician */
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| "AG"
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/**
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* Clinical psychologist */
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| "AH"
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/**
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* Principal physician of record */
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| "AI"
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/**
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* Clinical social worker */
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| "AJ"
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/**
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* Non participating physician */
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| "AK"
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/**
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* Physician, team member service */
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| "AM"
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/**
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* Alternate payment method declined by provider of service */
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| "AO"
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/**
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* Determination of refractive state was not performed in the course of diagnostic ophthalmological examination */
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| "AP"
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/**
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* Physician providing a service in an unlisted health professional shortage area (hpsa) */
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| "AQ"
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/**
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* Physician provider services in a physician scarcity area */
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| "AR"
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/**
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* Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery */
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| "AS"
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/**
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* Acute treatment */
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| "AT"
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/**
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* Physician providing a service in a dental health professional shortage area for the purpose of an EHR incentive payment */
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| "AZ"
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/**
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* Item furnished in conjunction with parenteral enteral nutrition (pen) services */
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| "BA"
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/**
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* Special acquisition of blood and blood products */
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| "BL"
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/**
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* Orally administered nutrition, not by feeding tube */
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| "BO"
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/**
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* The beneficiary has been informed of the purchase and rental options and has elected to purchase the item */
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| "BP"
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/**
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* The beneficiary has been informed of the purchase and rental options and has elected to rent the item */
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| "BR"
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/**
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* The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier */
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| "BU"
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/**
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* Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission */
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| "CA"
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/**
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* Service ordered by a renal dialysis facility (rdf) physician as part of the ESRD beneficiary's dialysis benefit */
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| "CB"
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/**
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* Procedure code change */
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| "CC"
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/**
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* Amcc test has been ordered by an ESRD facility or MCP physician that is not separately billable */
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| "CD"
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/**
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* Amcc test has been ordered by an esrd facility or mcp physician that is beyond the normal frequency covered */
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| "CE"
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/**
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* Amcc test has been ordered by an esrd facility or mcp physician that is separately billable */
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| "CF"
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/**
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* Policy criteria applied */
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| "CG"
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/**
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* 0 percent impaired, limited or restricted */
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| "CH"
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/**
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* At least 1 percent but less than 20 percent impaired, limited or restricted */
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| "CI"
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/**
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* At least 20 percent but less than 40 percent impaired, limited or restricted */
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| "CJ"
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/**
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* At least 40 percent but less than 60 percent impaired, limited or restricted */
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| "CK"
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/**
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* At least 60 percent but less than 80 percent impaired, limited or restricted */
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| "CL"
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/**
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* At least 80 percent but less than 100 percent impaired, limited or restricted */
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| "CM"
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/**
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* 100 percent impaired, limited or restricted */
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| "CN"
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/**
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* Catastrophe/disaster related */
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| "CR"
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/**
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* Cost sharing for COVID-19 testing */
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| "CS"
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/**
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* Computed tomography services furnished using equipment that does not meet xr-29-2013 standard */
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| "CT"
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/**
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* Outpatient physical therapy services furnished in whole or in part by a occupational therapist assistant */
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| "CO"
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/**
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* Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant */
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| "CQ"
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/**
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* Oral health assessment by a licensed health professional other than a dentist */
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| "DA"
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/**
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* Upper left, eyelid */
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| "E1"
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/**
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* Lower left, eyelid */
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| "E2"
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/**
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* Upper right, eyelid */
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| "E3"
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/**
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* Lower right, eyelid */
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| "E4"
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy */
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| "EA"
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy */
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| "EB"
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or chemotherapy */
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| "EC"
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/**
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* Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles */
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| "ED"
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/**
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* Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more billing cycles */
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| "EE"
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/**
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* Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab */
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| "EJ"
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/**
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* Emergency reserve supply (for esrd benefit only) */
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| "EM"
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/**
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* Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program */
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| "EP"
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/**
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* Items and services furnished by a provider-based, off-campus emergency department */
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| "ER"
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/**
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* Emergency services */
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| "ET"
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/**
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|
-
* Expatriate beneficiary */
|
|
331
|
-
| "EX"
|
|
332
|
-
/**
|
|
333
|
-
* No physician or other licensed health care provider order for this item or service */
|
|
334
|
-
| "EY"
|
|
335
|
-
/**
|
|
336
|
-
* Left hand, second digit */
|
|
337
|
-
| "F1"
|
|
338
|
-
/**
|
|
339
|
-
* Left hand, third digit */
|
|
340
|
-
| "F2"
|
|
341
|
-
/**
|
|
342
|
-
* Left hand, fourth digit */
|
|
343
|
-
| "F3"
|
|
344
|
-
/**
|
|
345
|
-
* Left hand, fifth digit */
|
|
346
|
-
| "F4"
|
|
347
|
-
/**
|
|
348
|
-
* Right hand, thumb */
|
|
349
|
-
| "F5"
|
|
350
|
-
/**
|
|
351
|
-
* Right hand, second digit */
|
|
352
|
-
| "F6"
|
|
353
|
-
/**
|
|
354
|
-
* Right hand, third digit */
|
|
355
|
-
| "F7"
|
|
356
|
-
/**
|
|
357
|
-
* Right hand, fourth digit */
|
|
358
|
-
| "F8"
|
|
359
|
-
/**
|
|
360
|
-
* Right hand, fifth digit */
|
|
361
|
-
| "F9"
|
|
362
|
-
/**
|
|
363
|
-
* Right hand, thumb */
|
|
364
|
-
| "FA"
|
|
365
|
-
/**
|
|
366
|
-
* Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device */
|
|
367
|
-
| "FB"
|
|
368
|
-
/**
|
|
369
|
-
* Partial credit received for replaced device */
|
|
370
|
-
| "FC"
|
|
371
|
-
/**
|
|
372
|
-
* Service provided as part of family planning program */
|
|
373
|
-
| "FP"
|
|
374
|
-
/**
|
|
375
|
-
* Telehealth service furnished using real-time audio-only communication technology. */
|
|
376
|
-
| "FQ"
|
|
377
|
-
/**
|
|
378
|
-
* A supervising practitioner was present through a real-time two-way, audio/video communication technology. */
|
|
379
|
-
| "FR"
|
|
380
|
-
/**
|
|
381
|
-
* Split (or shared) evaluation and management visit. */
|
|
382
|
-
| "FS"
|
|
383
|
-
/**
|
|
384
|
-
* Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure */
|
|
385
|
-
| "FT"
|
|
386
|
-
/**
|
|
387
|
-
* X-ray taken using film */
|
|
388
|
-
| "FX"
|
|
389
|
-
/**
|
|
390
|
-
* X-ray taken using computed radiography technology/cassette-based imaging */
|
|
391
|
-
| "FY"
|
|
392
|
-
/**
|
|
393
|
-
* Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke */
|
|
394
|
-
| "G0"
|
|
395
|
-
/**
|
|
396
|
-
* Most recent urr reading of less than 60 */
|
|
397
|
-
| "G1"
|
|
398
|
-
/**
|
|
399
|
-
* Most recent urr reading of 60 to 64.9 */
|
|
400
|
-
| "G2"
|
|
401
|
-
/**
|
|
402
|
-
* Most recent urr reading of 65 to 69.9 */
|
|
403
|
-
| "G3"
|
|
404
|
-
/**
|
|
405
|
-
* Most recent urr reading of 70 to 74.9 */
|
|
406
|
-
| "G4"
|
|
407
|
-
/**
|
|
408
|
-
* Most recent urr reading of 75 or greater */
|
|
409
|
-
| "G5"
|
|
410
|
-
/**
|
|
411
|
-
* ESRD patient for whom less than six dialysis sessions have been provided in a month */
|
|
412
|
-
| "G6"
|
|
413
|
-
/**
|
|
414
|
-
* Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening */
|
|
415
|
-
| "G7"
|
|
416
|
-
/**
|
|
417
|
-
* Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure */
|
|
418
|
-
| "G8"
|
|
419
|
-
/**
|
|
420
|
-
* Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition */
|
|
421
|
-
| "G9"
|
|
422
|
-
/**
|
|
423
|
-
* Waiver of liability statement issued as required by payer policy, individual case */
|
|
424
|
-
| "GA"
|
|
425
|
-
/**
|
|
426
|
-
* Claim being re-submitted for payment because it is no longer covered under a global payment demonstration */
|
|
427
|
-
| "GB"
|
|
428
|
-
/**
|
|
429
|
-
* This service has been performed in part by a resident under the direction of a teaching physician */
|
|
430
|
-
| "GC"
|
|
431
|
-
/**
|
|
432
|
-
* This service has been performed by a resident without the presence of a teaching physician under the primary care exception */
|
|
433
|
-
| "GE"
|
|
434
|
-
/**
|
|
435
|
-
* Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital */
|
|
436
|
-
| "GF"
|
|
437
|
-
/**
|
|
438
|
-
* Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day */
|
|
439
|
-
| "GG"
|
|
440
|
-
/**
|
|
441
|
-
* Diagnostic mammogram converted from screening mammogram on same day */
|
|
442
|
-
| "GH"
|
|
443
|
-
/**
|
|
444
|
-
* opt out physician or practitioner emergency or urgent service */
|
|
445
|
-
| "GJ"
|
|
446
|
-
/**
|
|
447
|
-
* Reasonable and necessary item/service associated with a ga or gz modifier */
|
|
448
|
-
| "GK"
|
|
449
|
-
/**
|
|
450
|
-
* Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) */
|
|
451
|
-
| "GL"
|
|
452
|
-
/**
|
|
453
|
-
* Multiple patients on one ambulance trip */
|
|
454
|
-
| "GM"
|
|
455
|
-
/**
|
|
456
|
-
* Services delivered under an outpatient speech-language pathology plan of care */
|
|
457
|
-
| "GN"
|
|
458
|
-
/**
|
|
459
|
-
* Service delivered personally by an occupational therapist or under an outpatient occupational therapy plan of care */
|
|
460
|
-
| "GO"
|
|
461
|
-
/**
|
|
462
|
-
* Service delivered personally by a physical therapist or under an outpatient physical therapy plan of care */
|
|
463
|
-
| "GP"
|
|
464
|
-
/**
|
|
465
|
-
* Services provided via an asynchronous telecommunications system */
|
|
466
|
-
| "GQ"
|
|
467
|
-
/**
|
|
468
|
-
* 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 */
|
|
469
|
-
| "GR"
|
|
470
|
-
/**
|
|
471
|
-
* Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level */
|
|
472
|
-
| "GS"
|
|
473
|
-
/**
|
|
474
|
-
* Services took place via an interactive audio and video telecommunications system */
|
|
475
|
-
| "GT"
|
|
476
|
-
/**
|
|
477
|
-
* Waiver of liability statement issued as required by payer policy, routine notice */
|
|
478
|
-
| "GU"
|
|
479
|
-
/**
|
|
480
|
-
* Attending physician not employed or paid under arrangement by the patient's hospice provider */
|
|
481
|
-
| "GV"
|
|
482
|
-
/**
|
|
483
|
-
* Service not related to the hospice patient's terminal condition */
|
|
484
|
-
| "GW"
|
|
485
|
-
/**
|
|
486
|
-
* Notice of liability issued, voluntary under payer policy */
|
|
487
|
-
| "GX"
|
|
488
|
-
/**
|
|
489
|
-
* Not a covered benefit */
|
|
490
|
-
| "GY"
|
|
491
|
-
/**
|
|
492
|
-
* Item or service expected to be denied as not reasonable and necessary */
|
|
493
|
-
| "GZ"
|
|
494
|
-
/**
|
|
495
|
-
* Child/adolescent program */
|
|
496
|
-
| "HA"
|
|
497
|
-
/**
|
|
498
|
-
* Adult program, non geriatric */
|
|
499
|
-
| "HB"
|
|
500
|
-
/**
|
|
501
|
-
* Adult program, geriatric */
|
|
502
|
-
| "HC"
|
|
503
|
-
/**
|
|
504
|
-
* Pregnant/parenting women's program */
|
|
505
|
-
| "HD"
|
|
506
|
-
/**
|
|
507
|
-
* Mental health program */
|
|
508
|
-
| "HE"
|
|
509
|
-
/**
|
|
510
|
-
* Substance abuse program */
|
|
511
|
-
| "HF"
|
|
512
|
-
/**
|
|
513
|
-
* Opioid addiction treatment program */
|
|
514
|
-
| "HG"
|
|
515
|
-
/**
|
|
516
|
-
* Integrated mental health/substance abuse program */
|
|
517
|
-
| "HH"
|
|
518
|
-
/**
|
|
519
|
-
* Integrated mental health and intellectual disability/developmental disabilities program */
|
|
520
|
-
| "HI"
|
|
521
|
-
/**
|
|
522
|
-
* Employee assistance program */
|
|
523
|
-
| "HJ"
|
|
524
|
-
/**
|
|
525
|
-
* Specialized mental health programs for high-risk populations */
|
|
526
|
-
| "HK"
|
|
527
|
-
/**
|
|
528
|
-
* Intern */
|
|
529
|
-
| "HL"
|
|
530
|
-
/**
|
|
531
|
-
* The rendering provider has a highest educational attainment of less than a bachelor's degree */
|
|
532
|
-
| "HM"
|
|
533
|
-
/**
|
|
534
|
-
* The rendering provider has a highest educational attainment of a bachelor's degree */
|
|
535
|
-
| "HN"
|
|
536
|
-
/**
|
|
537
|
-
* The rendering provider has a highest educational attainment of a master's degree */
|
|
538
|
-
| "HO"
|
|
539
|
-
/**
|
|
540
|
-
* The rendering provider has a highest educational attainment of a doctoral degree */
|
|
541
|
-
| "HP"
|
|
542
|
-
/**
|
|
543
|
-
* Group setting */
|
|
544
|
-
| "HQ"
|
|
545
|
-
/**
|
|
546
|
-
* Family/couple with client present */
|
|
547
|
-
| "HR"
|
|
548
|
-
/**
|
|
549
|
-
* Family/couple without client present */
|
|
550
|
-
| "HS"
|
|
551
|
-
/**
|
|
552
|
-
* Multi-disciplinary team */
|
|
553
|
-
| "HT"
|
|
554
|
-
/**
|
|
555
|
-
* Funded by child welfare agency */
|
|
556
|
-
| "HU"
|
|
557
|
-
/**
|
|
558
|
-
* Funded by state addictions agency */
|
|
559
|
-
| "HV"
|
|
560
|
-
/**
|
|
561
|
-
* Funded by state mental health agency */
|
|
562
|
-
| "HW"
|
|
563
|
-
/**
|
|
564
|
-
* Funded by county/local agency */
|
|
565
|
-
| "HX"
|
|
566
|
-
/**
|
|
567
|
-
* Funded by juvenile justice agency */
|
|
568
|
-
| "HY"
|
|
569
|
-
/**
|
|
570
|
-
* Funded by criminal justice agency */
|
|
571
|
-
| "HZ"
|
|
572
|
-
/**
|
|
573
|
-
* Competitive acquisition program no-pay submission for a prescription number */
|
|
574
|
-
| "J1"
|
|
575
|
-
/**
|
|
576
|
-
* Competitive acquisition program, restocking of emergency drugs after emergency administration */
|
|
577
|
-
| "J2"
|
|
578
|
-
/**
|
|
579
|
-
* Competitive acquisition program (cap) reimbursed under average sales price methodology */
|
|
580
|
-
| "J3"
|
|
581
|
-
/**
|
|
582
|
-
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished by a hospital upon discharge */
|
|
583
|
-
| "J4"
|
|
584
|
-
/**
|
|
585
|
-
* Off-the-shelf orthotic subject to DMEPOS competitive bidding program */
|
|
586
|
-
| "J5"
|
|
587
|
-
/**
|
|
588
|
-
* Administered intravenously */
|
|
589
|
-
| "JA"
|
|
590
|
-
/**
|
|
591
|
-
* Administered subcutaneously */
|
|
592
|
-
| "JB"
|
|
593
|
-
/**
|
|
594
|
-
* Skin substitute used as a graft */
|
|
595
|
-
| "JC"
|
|
596
|
-
/**
|
|
597
|
-
* Skin substitute not used as a graft */
|
|
598
|
-
| "JD"
|
|
599
|
-
/**
|
|
600
|
-
* Administered via dialysate */
|
|
601
|
-
| "JE"
|
|
602
|
-
/**
|
|
603
|
-
* Drug or biological acquired with 340b drug pricing program discount */
|
|
604
|
-
| "JG"
|
|
605
|
-
/**
|
|
606
|
-
* Drug amount discarded/not administered to any patient */
|
|
607
|
-
| "JW"
|
|
608
|
-
/**
|
|
609
|
-
* Zero drug amount discarded/not administered to any patient */
|
|
610
|
-
| "JZ"
|
|
611
|
-
/**
|
|
612
|
-
* Lower extremity prosthesis functional level 0 */
|
|
613
|
-
| "K0"
|
|
614
|
-
/**
|
|
615
|
-
* Lower extremity prosthesis functional level 1 */
|
|
616
|
-
| "K1"
|
|
617
|
-
/**
|
|
618
|
-
* Lower extremity prosthesis functional level 2 */
|
|
619
|
-
| "K2"
|
|
620
|
-
/**
|
|
621
|
-
* Lower extremity prosthesis functional level 3 */
|
|
622
|
-
| "K3"
|
|
623
|
-
/**
|
|
624
|
-
* Lower extremity prosthesis functional level 4 */
|
|
625
|
-
| "K4"
|
|
626
|
-
/**
|
|
627
|
-
* Add on option/accessory for wheelchair */
|
|
628
|
-
| "KA"
|
|
629
|
-
/**
|
|
630
|
-
* Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim */
|
|
631
|
-
| "KB"
|
|
632
|
-
/**
|
|
633
|
-
* Replacement of special power wheelchair interface */
|
|
634
|
-
| "KC"
|
|
635
|
-
/**
|
|
636
|
-
* Drug or biological infused through DME */
|
|
637
|
-
| "KD"
|
|
638
|
-
/**
|
|
639
|
-
* Bid under round one of the DMEPOS competitive bidding program */
|
|
640
|
-
| "KE"
|
|
641
|
-
/**
|
|
642
|
-
* Item designated by FDA as class III device */
|
|
643
|
-
| "KF"
|
|
644
|
-
/**
|
|
645
|
-
* DMEPOS item subject to DMEPOS competitive bidding program number 1 */
|
|
646
|
-
| "KG"
|
|
647
|
-
/**
|
|
648
|
-
* DMEPOS item, initial claim, purchase or first month rental */
|
|
649
|
-
| "KH"
|
|
650
|
-
/**
|
|
651
|
-
* DMEPOS item, second or third month rental */
|
|
652
|
-
| "KI"
|
|
653
|
-
/**
|
|
654
|
-
* DMEPOS item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen */
|
|
655
|
-
| "KJ"
|
|
656
|
-
/**
|
|
657
|
-
* DMEPOS item subject to DMEPOS competitive bidding program number 2 */
|
|
658
|
-
| "KK"
|
|
659
|
-
/**
|
|
660
|
-
* DMEPOS item delivered via mail */
|
|
661
|
-
| "KL"
|
|
662
|
-
/**
|
|
663
|
-
* Replacement of facial prosthesis including new impression/moulage */
|
|
664
|
-
| "KM"
|
|
665
|
-
/**
|
|
666
|
-
* Replacement of facial prosthesis using previous master model */
|
|
667
|
-
| "KN"
|
|
668
|
-
/**
|
|
669
|
-
* Single drug unit dose formulation */
|
|
670
|
-
| "KO"
|
|
671
|
-
/**
|
|
672
|
-
* First drug of a multiple drug unit dose formulation */
|
|
673
|
-
| "KP"
|
|
674
|
-
/**
|
|
675
|
-
* Second or subsequent drug of a multiple drug unit dose formulation */
|
|
676
|
-
| "KQ"
|
|
677
|
-
/**
|
|
678
|
-
* Rental item, billing for partial month */
|
|
679
|
-
| "KR"
|
|
680
|
-
/**
|
|
681
|
-
* Glucose monitor supply for diabetic beneficiary not treated with insulin */
|
|
682
|
-
| "KS"
|
|
683
|
-
/**
|
|
684
|
-
* Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area */
|
|
685
|
-
| "KT"
|
|
686
|
-
/**
|
|
687
|
-
* DMEPOS item subject to DMEPOS competitive bidding program number 3 */
|
|
688
|
-
| "KU"
|
|
689
|
-
/**
|
|
690
|
-
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished as part of a professional service */
|
|
691
|
-
| "KV"
|
|
692
|
-
/**
|
|
693
|
-
* DMEPOS item subject to DMEPOS competitive bidding program number 4 */
|
|
694
|
-
| "KW"
|
|
695
|
-
/**
|
|
696
|
-
* Requirements specified in the medical policy have been met */
|
|
697
|
-
| "KX"
|
|
698
|
-
/**
|
|
699
|
-
* DMEPOS item subject to DMEPOS competitive bidding program number 5 */
|
|
700
|
-
| "KY"
|
|
701
|
-
/**
|
|
702
|
-
* New coverage not implemented by managed care */
|
|
703
|
-
| "KZ"
|
|
704
|
-
/**
|
|
705
|
-
* Left circumflex coronary artery */
|
|
706
|
-
| "LC"
|
|
707
|
-
/**
|
|
708
|
-
* Left anterior descending coronary artery */
|
|
709
|
-
| "LD"
|
|
710
|
-
/**
|
|
711
|
-
* Lease/rental */
|
|
712
|
-
| "LL"
|
|
713
|
-
/**
|
|
714
|
-
* Left main coronary artery */
|
|
715
|
-
| "LM"
|
|
716
|
-
/**
|
|
717
|
-
* Laboratory round trip */
|
|
718
|
-
| "LR"
|
|
719
|
-
/**
|
|
720
|
-
* FDA-monitored intraocular lens implant */
|
|
721
|
-
| "LS"
|
|
722
|
-
/**
|
|
723
|
-
* Left side (used to identify procedures performed on the left side of the body) */
|
|
724
|
-
| "LT"
|
|
725
|
-
/**
|
|
726
|
-
* Fractionated payment of CAR-T therapy */
|
|
727
|
-
| "LU"
|
|
728
|
-
/**
|
|
729
|
-
* Medicare secondary payer */
|
|
730
|
-
| "M2"
|
|
731
|
-
/**
|
|
732
|
-
* Not required to consult clinical decision support... for patient with a suspected or confirmed emergency medical condition */
|
|
733
|
-
| "MA"
|
|
734
|
-
/**
|
|
735
|
-
* Not required to consult clinical decision support mechanism due to insufficient internet access */
|
|
736
|
-
| "MB"
|
|
737
|
-
/**
|
|
738
|
-
* Not required to consult clinical decision support mechanism due to electronic health record vendor issues */
|
|
739
|
-
| "MC"
|
|
740
|
-
/**
|
|
741
|
-
* Not required to consult clinical decision support mechanism due to extreme/uncontrollable circumstances */
|
|
742
|
-
| "MD"
|
|
743
|
-
/**
|
|
744
|
-
* Adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
745
|
-
| "ME"
|
|
746
|
-
/**
|
|
747
|
-
* Does not adhere to the criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
748
|
-
| "MF"
|
|
749
|
-
/**
|
|
750
|
-
* Does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
751
|
-
| "MG"
|
|
752
|
-
/**
|
|
753
|
-
* Unknown if ordering professional consulted a clinical decision support mechanism for this service */
|
|
754
|
-
| "MH"
|
|
755
|
-
/**
|
|
756
|
-
* Six month maintenance and servicing fee for parts and labor, not covered under any manufacturer or supplier warranty */
|
|
757
|
-
| "MS"
|
|
758
|
-
/**
|
|
759
|
-
* Group 1 oxygen coverage criteria met */
|
|
760
|
-
| "N1"
|
|
761
|
-
/**
|
|
762
|
-
* Group 2 oxygen coverage criteria met */
|
|
763
|
-
| "N2"
|
|
764
|
-
/**
|
|
765
|
-
* Group 3 oxygen coverage criteria met */
|
|
766
|
-
| "N3"
|
|
767
|
-
/**
|
|
768
|
-
* Nebulizer system, any type, FDA-cleared for use with specific drug */
|
|
769
|
-
| "NB"
|
|
770
|
-
/**
|
|
771
|
-
* New when rented */
|
|
772
|
-
| "NR"
|
|
773
|
-
/**
|
|
774
|
-
* New durable medical equipment purchase */
|
|
775
|
-
| "NU"
|
|
776
|
-
/**
|
|
777
|
-
* A normal healthy patient */
|
|
778
|
-
| "P1"
|
|
779
|
-
/**
|
|
780
|
-
* A patient with a mild systemic disease */
|
|
781
|
-
| "P2"
|
|
782
|
-
/**
|
|
783
|
-
* A patient with severe systemic disease */
|
|
784
|
-
| "P3"
|
|
785
|
-
/**
|
|
786
|
-
* A patient with severe systemic disease that is a constant threat to life */
|
|
787
|
-
| "P4"
|
|
788
|
-
/**
|
|
789
|
-
* A moribund patient who is not expected to survive without the operation */
|
|
790
|
-
| "P5"
|
|
791
|
-
/**
|
|
792
|
-
* A declared brain-dead patient whose organs are being removed for donor purposes */
|
|
793
|
-
| "P6"
|
|
794
|
-
/**
|
|
795
|
-
* Surgical or other invasive procedure on wrong body part */
|
|
796
|
-
| "PA"
|
|
797
|
-
/**
|
|
798
|
-
* Surgical or other invasive procedure on wrong patient */
|
|
799
|
-
| "PB"
|
|
800
|
-
/**
|
|
801
|
-
* Wrong surgery or other invasive procedure on patient */
|
|
802
|
-
| "PC"
|
|
803
|
-
/**
|
|
804
|
-
* Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days */
|
|
805
|
-
| "PD"
|
|
806
|
-
/**
|
|
807
|
-
* Positron emission tomography (PET) or PET/computed tomography (CT) */
|
|
808
|
-
| "PI"
|
|
809
|
-
/**
|
|
810
|
-
* Progressive addition lenses */
|
|
811
|
-
| "PL"
|
|
812
|
-
/**
|
|
813
|
-
* Post-mortem */
|
|
814
|
-
| "PM"
|
|
815
|
-
/**
|
|
816
|
-
* Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
817
|
-
| "PN"
|
|
818
|
-
/**
|
|
819
|
-
* Excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
820
|
-
| "PO"
|
|
821
|
-
/**
|
|
822
|
-
* Positron emission tomography (PET) or pet/computed tomography (CT) to inform the treatment strategy of cancerous tumors */
|
|
823
|
-
| "PS"
|
|
824
|
-
/**
|
|
825
|
-
* Colorectal cancer screening test; converted to diagnostic test or other procedure */
|
|
826
|
-
| "PT"
|
|
827
|
-
/**
|
|
828
|
-
* Investigational clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
829
|
-
| "Q0"
|
|
830
|
-
/**
|
|
831
|
-
* Routine clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
832
|
-
| "Q1"
|
|
833
|
-
/**
|
|
834
|
-
* Demonstration procedure/service */
|
|
835
|
-
| "Q2"
|
|
836
|
-
/**
|
|
837
|
-
* Live kidney donor surgery and related services */
|
|
838
|
-
| "Q3"
|
|
839
|
-
/**
|
|
840
|
-
* Service for ordering/referring physician qualifies as a service exemption */
|
|
841
|
-
| "Q4"
|
|
842
|
-
/**
|
|
843
|
-
* Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
844
|
-
| "Q5"
|
|
845
|
-
/**
|
|
846
|
-
* Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
847
|
-
| "Q6"
|
|
848
|
-
/**
|
|
849
|
-
* One Class A finding */
|
|
850
|
-
| "Q7"
|
|
851
|
-
/**
|
|
852
|
-
* Two Class A findings */
|
|
853
|
-
| "Q8"
|
|
854
|
-
/**
|
|
855
|
-
* One Class B and two Class C findings */
|
|
856
|
-
| "Q9"
|
|
857
|
-
/**
|
|
858
|
-
* Prescribed amounts of stationary oxygen for daytime use differ ... <1 liter per minute */
|
|
859
|
-
| "QA"
|
|
860
|
-
/**
|
|
861
|
-
* Prescribed amounts of stationary oxygen for daytime use differ ... >4 liters per minute */
|
|
862
|
-
| "QB"
|
|
863
|
-
/**
|
|
864
|
-
* Single channel monitoring */
|
|
865
|
-
| "QC"
|
|
866
|
-
/**
|
|
867
|
-
* Recording and storage in solid state memory by a digital recorder */
|
|
868
|
-
| "QD"
|
|
869
|
-
/**
|
|
870
|
-
* Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm) */
|
|
871
|
-
| "QE"
|
|
872
|
-
/**
|
|
873
|
-
* Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed */
|
|
874
|
-
| "QF"
|
|
875
|
-
/**
|
|
876
|
-
* Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm) */
|
|
877
|
-
| "QG"
|
|
878
|
-
/**
|
|
879
|
-
* Oxygen conserving device is being used with an oxygen delivery system */
|
|
880
|
-
| "QH"
|
|
881
|
-
/**
|
|
882
|
-
* Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) */
|
|
883
|
-
| "QJ"
|
|
884
|
-
/**
|
|
885
|
-
* Medical direction of two, three, or four concurrent anesthesia procedure involving qualified individuals */
|
|
886
|
-
| "QK"
|
|
887
|
-
/**
|
|
888
|
-
* Patient pronounced dead after ambulance called */
|
|
889
|
-
| "QL"
|
|
890
|
-
/**
|
|
891
|
-
* Ambulance service provided under arrangement by a provider of services */
|
|
892
|
-
| "QM"
|
|
893
|
-
/**
|
|
894
|
-
* Ambulance service furnished directly by a provider of services */
|
|
895
|
-
| "QN"
|
|
896
|
-
/**
|
|
897
|
-
* Laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes */
|
|
898
|
-
| "QP"
|
|
899
|
-
/**
|
|
900
|
-
* Ordering professional consulted a qualified clinical decision support mechanism for this service */
|
|
901
|
-
| "QQ"
|
|
902
|
-
/**
|
|
903
|
-
* Amounts of stationary oxygen for daytime use and nighttime use differ; average of the amounts >4 liters per minute */
|
|
904
|
-
| "QR"
|
|
905
|
-
/**
|
|
906
|
-
* Monitored anesthesia care service */
|
|
907
|
-
| "QS"
|
|
908
|
-
/**
|
|
909
|
-
* Recording and storage on tape by an analog tape recorder */
|
|
910
|
-
| "QT"
|
|
911
|
-
/**
|
|
912
|
-
* CLIA waived */
|
|
913
|
-
| "QW"
|
|
914
|
-
/**
|
|
915
|
-
* CRNA service: with medical direction by a physician */
|
|
916
|
-
| "QX"
|
|
917
|
-
/**
|
|
918
|
-
* Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist */
|
|
919
|
-
| "QY"
|
|
920
|
-
/**
|
|
921
|
-
* CRNA service: without medical direction by a physician */
|
|
922
|
-
| "QZ"
|
|
923
|
-
/**
|
|
924
|
-
* Replacement of a DME, orthotic or prosthetic item */
|
|
925
|
-
| "RA"
|
|
926
|
-
/**
|
|
927
|
-
* Replacement of a part of a DME, orthotic or prosthetic item */
|
|
928
|
-
| "RB"
|
|
929
|
-
/**
|
|
930
|
-
* Right coronary artery */
|
|
931
|
-
| "RC"
|
|
932
|
-
/**
|
|
933
|
-
* Drug provided to beneficiary, but not administered 'incident-to' */
|
|
934
|
-
| "RD"
|
|
935
|
-
/**
|
|
936
|
-
* Furnished in full compliance with FDA-mandated risk evaluation and mitigation strategy (REMS) */
|
|
937
|
-
| "RE"
|
|
938
|
-
/**
|
|
939
|
-
* Ramus intermedius coronary artery */
|
|
940
|
-
| "RI"
|
|
941
|
-
/**
|
|
942
|
-
* Rental (Use this ‘RR' modifier when DME is to be rented) */
|
|
943
|
-
| "RR"
|
|
944
|
-
/**
|
|
945
|
-
* Right side (used to identify procedures performed on the right side of the body) */
|
|
946
|
-
| "RT"
|
|
947
|
-
/**
|
|
948
|
-
* Physician assistant, nurse practitioner, or clinical nurse specialist services for non-surgical services */
|
|
949
|
-
| "SA"
|
|
950
|
-
/**
|
|
951
|
-
* Nurse midwife */
|
|
952
|
-
| "SB"
|
|
953
|
-
/**
|
|
954
|
-
* Medically necessary service or supply */
|
|
955
|
-
| "SC"
|
|
956
|
-
/**
|
|
957
|
-
* Services provided by registered nurse with specialized, highly technical home infusion training */
|
|
958
|
-
| "SD"
|
|
959
|
-
/**
|
|
960
|
-
* State- and/or federally-funded programs/services */
|
|
961
|
-
| "SE"
|
|
962
|
-
/**
|
|
963
|
-
* Second opinion ordered by a professional review organization (PRO) per section 9401, p.l. 99-272 */
|
|
964
|
-
| "SF"
|
|
965
|
-
/**
|
|
966
|
-
* Ambulatory surgical center (ASC) facility service */
|
|
967
|
-
| "SG"
|
|
968
|
-
/**
|
|
969
|
-
* Second concurrently administered infusion therapy */
|
|
970
|
-
| "SH"
|
|
971
|
-
/**
|
|
972
|
-
* Third or more concurrently administered infusion therapy */
|
|
973
|
-
| "SJ"
|
|
974
|
-
/**
|
|
975
|
-
* Addresses reimbursement guidelines for vaccines provided at no cost to the provider by a state or federal agency */
|
|
976
|
-
| "SL"
|
|
977
|
-
/**
|
|
978
|
-
* Second surgical opinion */
|
|
979
|
-
| "SM"
|
|
980
|
-
/**
|
|
981
|
-
* Third surgical opinion */
|
|
982
|
-
| "SN"
|
|
983
|
-
/**
|
|
984
|
-
* Item ordered by home health */
|
|
985
|
-
| "SQ"
|
|
986
|
-
/**
|
|
987
|
-
* Home infusion services provided in the infusion suite of the IV therapy provider */
|
|
988
|
-
| "SS"
|
|
989
|
-
/**
|
|
990
|
-
* Related to trauma or injury */
|
|
991
|
-
| "ST"
|
|
992
|
-
/**
|
|
993
|
-
* Procedure performed in physician's office (to denote use of facility and equipment) */
|
|
994
|
-
| "SU"
|
|
995
|
-
/**
|
|
996
|
-
* Pharamceuticals delivered to patient's home but not utilized */
|
|
997
|
-
| "SV"
|
|
998
|
-
/**
|
|
999
|
-
* Services provided by a certified diabetic educator */
|
|
1000
|
-
| "SW"
|
|
1001
|
-
/**
|
|
1002
|
-
* Persons who are in close contact with member of high-risk population (use only with codes for immunization) */
|
|
1003
|
-
| "SY"
|
|
1004
|
-
/**
|
|
1005
|
-
* Left foot, second digit */
|
|
1006
|
-
| "T1"
|
|
1007
|
-
/**
|
|
1008
|
-
* Left foot, third digit */
|
|
1009
|
-
| "T2"
|
|
1010
|
-
/**
|
|
1011
|
-
* Left foot, fourth digit */
|
|
1012
|
-
| "T3"
|
|
1013
|
-
/**
|
|
1014
|
-
* Left foot, fifth digit */
|
|
1015
|
-
| "T4"
|
|
1016
|
-
/**
|
|
1017
|
-
* Right foot, great toe */
|
|
1018
|
-
| "T5"
|
|
1019
|
-
/**
|
|
1020
|
-
* Right foot, second digit */
|
|
1021
|
-
| "T6"
|
|
1022
|
-
/**
|
|
1023
|
-
* Right foot, third digit */
|
|
1024
|
-
| "T7"
|
|
1025
|
-
/**
|
|
1026
|
-
* Right foot, fourth digit */
|
|
1027
|
-
| "T8"
|
|
1028
|
-
/**
|
|
1029
|
-
* Right foot, fifth digit */
|
|
1030
|
-
| "T9"
|
|
1031
|
-
/**
|
|
1032
|
-
* Left foot, great toe */
|
|
1033
|
-
| "TA"
|
|
1034
|
-
/**
|
|
1035
|
-
* Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes */
|
|
1036
|
-
| "TB"
|
|
1037
|
-
/**
|
|
1038
|
-
* Technical Component */
|
|
1039
|
-
| "TC"
|
|
1040
|
-
/**
|
|
1041
|
-
* Registered nurse (RN) */
|
|
1042
|
-
| "TD"
|
|
1043
|
-
/**
|
|
1044
|
-
* Licensed vocational nurse (LVN) or licensed practical nurse (LPN) */
|
|
1045
|
-
| "TE"
|
|
1046
|
-
/**
|
|
1047
|
-
* Intermediate level of care */
|
|
1048
|
-
| "TF"
|
|
1049
|
-
/**
|
|
1050
|
-
* Complex/high tech level of care */
|
|
1051
|
-
| "TG"
|
|
1052
|
-
/**
|
|
1053
|
-
* Obstetrical treatment/services, prenatal or postpart */
|
|
1054
|
-
| "TH"
|
|
1055
|
-
/**
|
|
1056
|
-
* Program group, child and/or adolescent */
|
|
1057
|
-
| "TJ"
|
|
1058
|
-
/**
|
|
1059
|
-
* Extra patient or passenger, non-ambulance */
|
|
1060
|
-
| "TK"
|
|
1061
|
-
/**
|
|
1062
|
-
* Early Intervention/Individualized Family Service Plan */
|
|
1063
|
-
| "TL"
|
|
1064
|
-
/**
|
|
1065
|
-
* Individualized education program (IEP) */
|
|
1066
|
-
| "TM"
|
|
1067
|
-
/**
|
|
1068
|
-
* Rural/outside providers' customary service area */
|
|
1069
|
-
| "TN"
|
|
1070
|
-
/**
|
|
1071
|
-
* Medical transport, unloaded vehicle */
|
|
1072
|
-
| "TP"
|
|
1073
|
-
/**
|
|
1074
|
-
* Basic life support transport by a volunteer ambulance provider */
|
|
1075
|
-
| "TQ"
|
|
1076
|
-
/**
|
|
1077
|
-
* School-based individualized education program (IEP) services provided outside the public school district */
|
|
1078
|
-
| "TR"
|
|
1079
|
-
/**
|
|
1080
|
-
* Follow-up service */
|
|
1081
|
-
| "TS"
|
|
1082
|
-
/**
|
|
1083
|
-
* Individualized service provided to more than one patient in same setting */
|
|
1084
|
-
| "TT"
|
|
1085
|
-
/**
|
|
1086
|
-
* Special payment rate, overtime */
|
|
1087
|
-
| "TU"
|
|
1088
|
-
/**
|
|
1089
|
-
* Special payment rates, holidays/weekends */
|
|
1090
|
-
| "TV"
|
|
1091
|
-
/**
|
|
1092
|
-
* Back-up equipment */
|
|
1093
|
-
| "TW"
|
|
1094
|
-
/**
|
|
1095
|
-
* Medicaid level of care 1, as defined by each state */
|
|
1096
|
-
| "U1"
|
|
1097
|
-
/**
|
|
1098
|
-
* Medicaid level of care 2, as defined by each state */
|
|
1099
|
-
| "U2"
|
|
1100
|
-
/**
|
|
1101
|
-
* Medicaid level of care 3, as defined by each state */
|
|
1102
|
-
| "U3"
|
|
1103
|
-
/**
|
|
1104
|
-
* Medicaid level of care 4, as defined by each state */
|
|
1105
|
-
| "U4"
|
|
1106
|
-
/**
|
|
1107
|
-
* Medicaid level of care 5, as defined by each state */
|
|
1108
|
-
| "U5"
|
|
1109
|
-
/**
|
|
1110
|
-
* Medicaid level of care 6, as defined by each state */
|
|
1111
|
-
| "U6"
|
|
1112
|
-
/**
|
|
1113
|
-
* Medicaid level of care 7, as defined by each state */
|
|
1114
|
-
| "U7"
|
|
1115
|
-
/**
|
|
1116
|
-
* Medicaid level of care 8, as defined by each state */
|
|
1117
|
-
| "U8"
|
|
1118
|
-
/**
|
|
1119
|
-
* Medicaid level of care 9, as defined by each state */
|
|
1120
|
-
| "U9"
|
|
1121
|
-
/**
|
|
1122
|
-
* Medicaid level of care 10, as defined by each state */
|
|
1123
|
-
| "UA"
|
|
1124
|
-
/**
|
|
1125
|
-
* Medicaid level of care 11, as defined by each state */
|
|
1126
|
-
| "UB"
|
|
1127
|
-
/**
|
|
1128
|
-
* Medicaid level of care 12, as defined by each state */
|
|
1129
|
-
| "UC"
|
|
1130
|
-
/**
|
|
1131
|
-
* Medicaid level of care 13, as defined by each state */
|
|
1132
|
-
| "UD"
|
|
1133
|
-
/**
|
|
1134
|
-
* Used durable medical equipment */
|
|
1135
|
-
| "UE"
|
|
1136
|
-
/**
|
|
1137
|
-
* Services provided in the morning */
|
|
1138
|
-
| "UF"
|
|
1139
|
-
/**
|
|
1140
|
-
* Services provided in the afternoon */
|
|
1141
|
-
| "UG"
|
|
1142
|
-
/**
|
|
1143
|
-
* Services provided in the evening */
|
|
1144
|
-
| "UH"
|
|
1145
|
-
/**
|
|
1146
|
-
* Services provided at night */
|
|
1147
|
-
| "UJ"
|
|
1148
|
-
/**
|
|
1149
|
-
* Services provided on behalf of the client to someone other than the client (collateral relationship) */
|
|
1150
|
-
| "UK"
|
|
1151
|
-
/**
|
|
1152
|
-
* Two patients served */
|
|
1153
|
-
| "UN"
|
|
1154
|
-
/**
|
|
1155
|
-
* Three patients served */
|
|
1156
|
-
| "UP"
|
|
1157
|
-
/**
|
|
1158
|
-
* Four patients served */
|
|
1159
|
-
| "UQ"
|
|
1160
|
-
/**
|
|
1161
|
-
* Five patients served */
|
|
1162
|
-
| "UR"
|
|
1163
|
-
/**
|
|
1164
|
-
* Six patients served */
|
|
1165
|
-
| "US"
|
|
1166
|
-
/**
|
|
1167
|
-
* One patient visit in a month */
|
|
1168
|
-
| "V1"
|
|
1169
|
-
/**
|
|
1170
|
-
* Two patient visits in a month */
|
|
1171
|
-
| "V2"
|
|
1172
|
-
/**
|
|
1173
|
-
* Three patient visits in a month */
|
|
1174
|
-
| "V3"
|
|
1175
|
-
/**
|
|
1176
|
-
* Indicates that the service was provided under a state-mandated reimbursement rate for workers' compensation claims */
|
|
1177
|
-
| "W1"
|
|
1178
|
-
/**
|
|
1179
|
-
* Used when a Medicare Set-Aside (MSA) account is used to pay for services related to a workers' compensation settlement */
|
|
1180
|
-
| "W2"
|
|
1181
|
-
/**
|
|
1182
|
-
* The treatment was approved under the workers’ compensation plan */
|
|
1183
|
-
| "W3"
|
|
1184
|
-
/**
|
|
1185
|
-
* Episodic/Focused Services - Reported by a specialty focused clinician who provides care that is time-limited */
|
|
1186
|
-
| "X4"
|
|
1187
|
-
/**
|
|
1188
|
-
* Two or more separate patient visits on the same date of service */
|
|
1189
|
-
| "XE"
|
|
1190
|
-
/**
|
|
1191
|
-
* A service that is distinct because it was performed by a different practitioner */
|
|
1192
|
-
| "XP"
|
|
1193
|
-
/**
|
|
1194
|
-
* A service that is distinct because it was performed on a separate organ/structure */
|
|
1195
|
-
| "XS"
|
|
1196
|
-
/**
|
|
1197
|
-
* The use of a service that is distinct because it does not overlap usual components of the main service */
|
|
1198
|
-
| "XU"
|
|
1199
|
-
/**
|
|
1200
|
-
* Custom modifier */
|
|
1201
|
-
| "XY";
|
|
1202
1
|
export declare const ProcedureModifier: {
|
|
2
|
+
/**
|
|
3
|
+
* Ambulance service provided as a volunteer ambulance service organization as defined by the state */
|
|
1203
4
|
readonly Av: "AV";
|
|
5
|
+
/**
|
|
6
|
+
* Item furnished in conjunction with a urological, ostomy, or tracheostomy supply */
|
|
1204
7
|
readonly Au: "AU";
|
|
8
|
+
/**
|
|
9
|
+
* Item furnished in conjunction with dialysis services */
|
|
1205
10
|
readonly Aw: "AW";
|
|
1206
11
|
readonly Seven: "07";
|
|
1207
12
|
readonly Eight: "08";
|
|
@@ -1213,401 +18,1194 @@ export declare const ProcedureModifier: {
|
|
|
1213
18
|
readonly Fourteen: "14";
|
|
1214
19
|
readonly Fifteen: "15";
|
|
1215
20
|
readonly Sixteen: "16";
|
|
21
|
+
/**
|
|
22
|
+
* Increased Procedural Services */
|
|
1216
23
|
readonly TwentyTwo: "22";
|
|
24
|
+
/**
|
|
25
|
+
* Unusual Anesthesia */
|
|
1217
26
|
readonly TwentyThree: "23";
|
|
27
|
+
/**
|
|
28
|
+
* Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period */
|
|
1218
29
|
readonly TwentyFour: "24";
|
|
30
|
+
/**
|
|
31
|
+
* Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service */
|
|
1219
32
|
readonly TwentyFive: "25";
|
|
33
|
+
/**
|
|
34
|
+
* Professional Component */
|
|
1220
35
|
readonly TwentySix: "26";
|
|
36
|
+
/**
|
|
37
|
+
* Multiple Outpatient Hospital E/M Encounters on the Same Date */
|
|
1221
38
|
readonly TwentySeven: "27";
|
|
1222
39
|
readonly TwentyEight: "28";
|
|
40
|
+
/**
|
|
41
|
+
* Mandated Services */
|
|
1223
42
|
readonly ThirtyTwo: "32";
|
|
43
|
+
/**
|
|
44
|
+
* Preventive Services */
|
|
1224
45
|
readonly ThirtyThree: "33";
|
|
46
|
+
/**
|
|
47
|
+
* Anesthesia by Surgeon */
|
|
1225
48
|
readonly FortySeven: "47";
|
|
49
|
+
/**
|
|
50
|
+
* Bilateral Procedure */
|
|
1226
51
|
readonly Fifty: "50";
|
|
52
|
+
/**
|
|
53
|
+
* Multiple Procedures */
|
|
1227
54
|
readonly FiftyOne: "51";
|
|
55
|
+
/**
|
|
56
|
+
* Reduced Services */
|
|
1228
57
|
readonly FiftyTwo: "52";
|
|
58
|
+
/**
|
|
59
|
+
* Discontinued Procedure */
|
|
1229
60
|
readonly FiftyThree: "53";
|
|
61
|
+
/**
|
|
62
|
+
* Surgical Care Only */
|
|
1230
63
|
readonly FiftyFour: "54";
|
|
64
|
+
/**
|
|
65
|
+
* Postoperative Management Only */
|
|
1231
66
|
readonly FiftyFive: "55";
|
|
67
|
+
/**
|
|
68
|
+
* Preoperative Management Only */
|
|
1232
69
|
readonly FiftySix: "56";
|
|
70
|
+
/**
|
|
71
|
+
* Decision for Surgery */
|
|
1233
72
|
readonly FiftySeven: "57";
|
|
73
|
+
/**
|
|
74
|
+
* Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
|
|
1234
75
|
readonly FiftyEight: "58";
|
|
76
|
+
/**
|
|
77
|
+
* Distinct Procedural Service */
|
|
1235
78
|
readonly FiftyNine: "59";
|
|
79
|
+
/**
|
|
80
|
+
* Two Surgeons */
|
|
1236
81
|
readonly SixtyTwo: "62";
|
|
82
|
+
/**
|
|
83
|
+
* Procedure Performed on Infants less than 4 kg */
|
|
1237
84
|
readonly SixtyThree: "63";
|
|
85
|
+
/**
|
|
86
|
+
* Surgical Team */
|
|
1238
87
|
readonly SixtySix: "66";
|
|
88
|
+
/**
|
|
89
|
+
* Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia */
|
|
1239
90
|
readonly SeventyFour: "74";
|
|
91
|
+
/**
|
|
92
|
+
* Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional */
|
|
1240
93
|
readonly SeventySix: "76";
|
|
94
|
+
/**
|
|
95
|
+
* Repeat Procedure by Another Physician or Other Qualified Health Care Professional */
|
|
1241
96
|
readonly SeventySeven: "77";
|
|
97
|
+
/**
|
|
98
|
+
* Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period */
|
|
1242
99
|
readonly SeventyEight: "78";
|
|
100
|
+
/**
|
|
101
|
+
* Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
|
|
1243
102
|
readonly SeventyNine: "79";
|
|
103
|
+
/**
|
|
104
|
+
* Assistant Surgeon */
|
|
1244
105
|
readonly Eighty: "80";
|
|
106
|
+
/**
|
|
107
|
+
* Minimum Assistant Surgeon */
|
|
1245
108
|
readonly EightyOne: "81";
|
|
109
|
+
/**
|
|
110
|
+
* Assistant Surgeon (when qualified resident surgeon not available) */
|
|
1246
111
|
readonly EightyTwo: "82";
|
|
112
|
+
/**
|
|
113
|
+
* Reference (Outside) Laboratory */
|
|
1247
114
|
readonly Ninety: "90";
|
|
115
|
+
/**
|
|
116
|
+
* Repeat Clinical Diagnostic Laboratory Test */
|
|
1248
117
|
readonly NinetyOne: "91";
|
|
118
|
+
/**
|
|
119
|
+
* Alternative Laboratory Platform Testing */
|
|
1249
120
|
readonly NinetyTwo: "92";
|
|
121
|
+
/**
|
|
122
|
+
* Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System */
|
|
1250
123
|
readonly NinetyThree: "93";
|
|
124
|
+
/**
|
|
125
|
+
* Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System */
|
|
1251
126
|
readonly NinetyFive: "95";
|
|
127
|
+
/**
|
|
128
|
+
* Habilitative Services */
|
|
1252
129
|
readonly NinetySix: "96";
|
|
130
|
+
/**
|
|
131
|
+
* Rehabilitative Services */
|
|
1253
132
|
readonly NinetySeven: "97";
|
|
133
|
+
/**
|
|
134
|
+
* Multiple Modifiers */
|
|
1254
135
|
readonly NinetyNine: "99";
|
|
136
|
+
/**
|
|
137
|
+
* Dressing for one wound */
|
|
1255
138
|
readonly A1: "A1";
|
|
139
|
+
/**
|
|
140
|
+
* Dressing for two wounds */
|
|
1256
141
|
readonly A2: "A2";
|
|
142
|
+
/**
|
|
143
|
+
* Dressing for three wounds */
|
|
1257
144
|
readonly A3: "A3";
|
|
145
|
+
/**
|
|
146
|
+
* Dressing for four wounds */
|
|
1258
147
|
readonly A4: "A4";
|
|
148
|
+
/**
|
|
149
|
+
* Dressing for five wounds */
|
|
1259
150
|
readonly A5: "A5";
|
|
151
|
+
/**
|
|
152
|
+
* Dressing for six wounds */
|
|
1260
153
|
readonly A6: "A6";
|
|
154
|
+
/**
|
|
155
|
+
* Dressing for seven wounds */
|
|
1261
156
|
readonly A7: "A7";
|
|
157
|
+
/**
|
|
158
|
+
* Dressing for eight wounds */
|
|
1262
159
|
readonly A8: "A8";
|
|
160
|
+
/**
|
|
161
|
+
* Dressing for nine wounds */
|
|
1263
162
|
readonly A9: "A9";
|
|
163
|
+
/**
|
|
164
|
+
* Anesthesia services performed personally by anesthesiologist */
|
|
1264
165
|
readonly Aa: "AA";
|
|
166
|
+
/**
|
|
167
|
+
* Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment ... */
|
|
1265
168
|
readonly Ab: "AB";
|
|
169
|
+
/**
|
|
170
|
+
* Medical supervision by a physician: more than four concurrent anesthesia procedures */
|
|
1266
171
|
readonly Ad: "AD";
|
|
172
|
+
/**
|
|
173
|
+
* Registered dietician */
|
|
1267
174
|
readonly Ae: "AE";
|
|
175
|
+
/**
|
|
176
|
+
* Specialty physician */
|
|
1268
177
|
readonly Af: "AF";
|
|
178
|
+
/**
|
|
179
|
+
* Primary physician */
|
|
1269
180
|
readonly Ag: "AG";
|
|
181
|
+
/**
|
|
182
|
+
* Clinical psychologist */
|
|
1270
183
|
readonly Ah: "AH";
|
|
184
|
+
/**
|
|
185
|
+
* Principal physician of record */
|
|
1271
186
|
readonly Ai: "AI";
|
|
187
|
+
/**
|
|
188
|
+
* Clinical social worker */
|
|
1272
189
|
readonly Aj: "AJ";
|
|
190
|
+
/**
|
|
191
|
+
* Non participating physician */
|
|
1273
192
|
readonly Ak: "AK";
|
|
193
|
+
/**
|
|
194
|
+
* Physician, team member service */
|
|
1274
195
|
readonly Am: "AM";
|
|
196
|
+
/**
|
|
197
|
+
* Alternate payment method declined by provider of service */
|
|
1275
198
|
readonly Ao: "AO";
|
|
199
|
+
/**
|
|
200
|
+
* Determination of refractive state was not performed in the course of diagnostic ophthalmological examination */
|
|
1276
201
|
readonly Ap: "AP";
|
|
202
|
+
/**
|
|
203
|
+
* Physician providing a service in an unlisted health professional shortage area (hpsa) */
|
|
1277
204
|
readonly Aq: "AQ";
|
|
205
|
+
/**
|
|
206
|
+
* Physician provider services in a physician scarcity area */
|
|
1278
207
|
readonly Ar: "AR";
|
|
208
|
+
/**
|
|
209
|
+
* Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery */
|
|
1279
210
|
readonly As: "AS";
|
|
211
|
+
/**
|
|
212
|
+
* Acute treatment */
|
|
1280
213
|
readonly At: "AT";
|
|
214
|
+
/**
|
|
215
|
+
* Physician providing a service in a dental health professional shortage area for the purpose of an EHR incentive payment */
|
|
1281
216
|
readonly Az: "AZ";
|
|
217
|
+
/**
|
|
218
|
+
* Item furnished in conjunction with parenteral enteral nutrition (pen) services */
|
|
1282
219
|
readonly Ba: "BA";
|
|
220
|
+
/**
|
|
221
|
+
* Special acquisition of blood and blood products */
|
|
1283
222
|
readonly Bl: "BL";
|
|
223
|
+
/**
|
|
224
|
+
* Orally administered nutrition, not by feeding tube */
|
|
1284
225
|
readonly Bo: "BO";
|
|
226
|
+
/**
|
|
227
|
+
* The beneficiary has been informed of the purchase and rental options and has elected to purchase the item */
|
|
1285
228
|
readonly Bp: "BP";
|
|
229
|
+
/**
|
|
230
|
+
* The beneficiary has been informed of the purchase and rental options and has elected to rent the item */
|
|
1286
231
|
readonly Br: "BR";
|
|
232
|
+
/**
|
|
233
|
+
* The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier */
|
|
1287
234
|
readonly Bu: "BU";
|
|
235
|
+
/**
|
|
236
|
+
* Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission */
|
|
1288
237
|
readonly Ca: "CA";
|
|
238
|
+
/**
|
|
239
|
+
* Service ordered by a renal dialysis facility (rdf) physician as part of the ESRD beneficiary's dialysis benefit */
|
|
1289
240
|
readonly Cb: "CB";
|
|
241
|
+
/**
|
|
242
|
+
* Procedure code change */
|
|
1290
243
|
readonly Cc: "CC";
|
|
244
|
+
/**
|
|
245
|
+
* Amcc test has been ordered by an ESRD facility or MCP physician that is not separately billable */
|
|
1291
246
|
readonly Cd: "CD";
|
|
247
|
+
/**
|
|
248
|
+
* Amcc test has been ordered by an esrd facility or mcp physician that is beyond the normal frequency covered */
|
|
1292
249
|
readonly Ce: "CE";
|
|
250
|
+
/**
|
|
251
|
+
* Amcc test has been ordered by an esrd facility or mcp physician that is separately billable */
|
|
1293
252
|
readonly Cf: "CF";
|
|
253
|
+
/**
|
|
254
|
+
* Policy criteria applied */
|
|
1294
255
|
readonly Cg: "CG";
|
|
256
|
+
/**
|
|
257
|
+
* 0 percent impaired, limited or restricted */
|
|
1295
258
|
readonly Ch: "CH";
|
|
259
|
+
/**
|
|
260
|
+
* At least 1 percent but less than 20 percent impaired, limited or restricted */
|
|
1296
261
|
readonly Ci: "CI";
|
|
262
|
+
/**
|
|
263
|
+
* At least 20 percent but less than 40 percent impaired, limited or restricted */
|
|
1297
264
|
readonly Cj: "CJ";
|
|
265
|
+
/**
|
|
266
|
+
* At least 40 percent but less than 60 percent impaired, limited or restricted */
|
|
1298
267
|
readonly Ck: "CK";
|
|
268
|
+
/**
|
|
269
|
+
* At least 60 percent but less than 80 percent impaired, limited or restricted */
|
|
1299
270
|
readonly Cl: "CL";
|
|
271
|
+
/**
|
|
272
|
+
* At least 80 percent but less than 100 percent impaired, limited or restricted */
|
|
1300
273
|
readonly Cm: "CM";
|
|
274
|
+
/**
|
|
275
|
+
* 100 percent impaired, limited or restricted */
|
|
1301
276
|
readonly Cn: "CN";
|
|
277
|
+
/**
|
|
278
|
+
* Catastrophe/disaster related */
|
|
1302
279
|
readonly Cr: "CR";
|
|
280
|
+
/**
|
|
281
|
+
* Cost sharing for COVID-19 testing */
|
|
1303
282
|
readonly Cs: "CS";
|
|
283
|
+
/**
|
|
284
|
+
* Computed tomography services furnished using equipment that does not meet xr-29-2013 standard */
|
|
1304
285
|
readonly Ct: "CT";
|
|
286
|
+
/**
|
|
287
|
+
* Outpatient physical therapy services furnished in whole or in part by a occupational therapist assistant */
|
|
1305
288
|
readonly Co: "CO";
|
|
289
|
+
/**
|
|
290
|
+
* Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant */
|
|
1306
291
|
readonly Cq: "CQ";
|
|
292
|
+
/**
|
|
293
|
+
* Oral health assessment by a licensed health professional other than a dentist */
|
|
1307
294
|
readonly Da: "DA";
|
|
295
|
+
/**
|
|
296
|
+
* Upper left, eyelid */
|
|
1308
297
|
readonly E1: "E1";
|
|
298
|
+
/**
|
|
299
|
+
* Lower left, eyelid */
|
|
1309
300
|
readonly E2: "E2";
|
|
301
|
+
/**
|
|
302
|
+
* Upper right, eyelid */
|
|
1310
303
|
readonly E3: "E3";
|
|
304
|
+
/**
|
|
305
|
+
* Lower right, eyelid */
|
|
1311
306
|
readonly E4: "E4";
|
|
307
|
+
/**
|
|
308
|
+
* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy */
|
|
1312
309
|
readonly Ea: "EA";
|
|
310
|
+
/**
|
|
311
|
+
* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy */
|
|
1313
312
|
readonly Eb: "EB";
|
|
313
|
+
/**
|
|
314
|
+
* Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or chemotherapy */
|
|
1314
315
|
readonly Ec: "EC";
|
|
316
|
+
/**
|
|
317
|
+
* Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles */
|
|
1315
318
|
readonly Ed: "ED";
|
|
319
|
+
/**
|
|
320
|
+
* Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more billing cycles */
|
|
1316
321
|
readonly Ee: "EE";
|
|
322
|
+
/**
|
|
323
|
+
* Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab */
|
|
1317
324
|
readonly Ej: "EJ";
|
|
325
|
+
/**
|
|
326
|
+
* Emergency reserve supply (for esrd benefit only) */
|
|
1318
327
|
readonly Em: "EM";
|
|
328
|
+
/**
|
|
329
|
+
* Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program */
|
|
1319
330
|
readonly Ep: "EP";
|
|
331
|
+
/**
|
|
332
|
+
* Items and services furnished by a provider-based, off-campus emergency department */
|
|
1320
333
|
readonly Er: "ER";
|
|
334
|
+
/**
|
|
335
|
+
* Emergency services */
|
|
1321
336
|
readonly Et: "ET";
|
|
337
|
+
/**
|
|
338
|
+
* Expatriate beneficiary */
|
|
1322
339
|
readonly Ex: "EX";
|
|
340
|
+
/**
|
|
341
|
+
* No physician or other licensed health care provider order for this item or service */
|
|
1323
342
|
readonly Ey: "EY";
|
|
343
|
+
/**
|
|
344
|
+
* Left hand, second digit */
|
|
1324
345
|
readonly F1: "F1";
|
|
346
|
+
/**
|
|
347
|
+
* Left hand, third digit */
|
|
1325
348
|
readonly F2: "F2";
|
|
349
|
+
/**
|
|
350
|
+
* Left hand, fourth digit */
|
|
1326
351
|
readonly F3: "F3";
|
|
352
|
+
/**
|
|
353
|
+
* Left hand, fifth digit */
|
|
1327
354
|
readonly F4: "F4";
|
|
355
|
+
/**
|
|
356
|
+
* Right hand, thumb */
|
|
1328
357
|
readonly F5: "F5";
|
|
358
|
+
/**
|
|
359
|
+
* Right hand, second digit */
|
|
1329
360
|
readonly F6: "F6";
|
|
361
|
+
/**
|
|
362
|
+
* Right hand, third digit */
|
|
1330
363
|
readonly F7: "F7";
|
|
364
|
+
/**
|
|
365
|
+
* Right hand, fourth digit */
|
|
1331
366
|
readonly F8: "F8";
|
|
367
|
+
/**
|
|
368
|
+
* Right hand, fifth digit */
|
|
1332
369
|
readonly F9: "F9";
|
|
370
|
+
/**
|
|
371
|
+
* Right hand, thumb */
|
|
1333
372
|
readonly Fa: "FA";
|
|
373
|
+
/**
|
|
374
|
+
* Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device */
|
|
1334
375
|
readonly Fb: "FB";
|
|
376
|
+
/**
|
|
377
|
+
* Partial credit received for replaced device */
|
|
1335
378
|
readonly Fc: "FC";
|
|
379
|
+
/**
|
|
380
|
+
* Service provided as part of family planning program */
|
|
1336
381
|
readonly Fp: "FP";
|
|
382
|
+
/**
|
|
383
|
+
* Telehealth service furnished using real-time audio-only communication technology. */
|
|
1337
384
|
readonly Fq: "FQ";
|
|
385
|
+
/**
|
|
386
|
+
* A supervising practitioner was present through a real-time two-way, audio/video communication technology. */
|
|
1338
387
|
readonly Fr: "FR";
|
|
388
|
+
/**
|
|
389
|
+
* Split (or shared) evaluation and management visit. */
|
|
1339
390
|
readonly Fs: "FS";
|
|
391
|
+
/**
|
|
392
|
+
* Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure */
|
|
1340
393
|
readonly Ft: "FT";
|
|
394
|
+
/**
|
|
395
|
+
* X-ray taken using film */
|
|
1341
396
|
readonly Fx: "FX";
|
|
397
|
+
/**
|
|
398
|
+
* X-ray taken using computed radiography technology/cassette-based imaging */
|
|
1342
399
|
readonly Fy: "FY";
|
|
400
|
+
/**
|
|
401
|
+
* Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke */
|
|
1343
402
|
readonly G0: "G0";
|
|
403
|
+
/**
|
|
404
|
+
* Most recent urr reading of less than 60 */
|
|
1344
405
|
readonly G1: "G1";
|
|
406
|
+
/**
|
|
407
|
+
* Most recent urr reading of 60 to 64.9 */
|
|
1345
408
|
readonly G2: "G2";
|
|
409
|
+
/**
|
|
410
|
+
* Most recent urr reading of 65 to 69.9 */
|
|
1346
411
|
readonly G3: "G3";
|
|
412
|
+
/**
|
|
413
|
+
* Most recent urr reading of 70 to 74.9 */
|
|
1347
414
|
readonly G4: "G4";
|
|
415
|
+
/**
|
|
416
|
+
* Most recent urr reading of 75 or greater */
|
|
1348
417
|
readonly G5: "G5";
|
|
418
|
+
/**
|
|
419
|
+
* ESRD patient for whom less than six dialysis sessions have been provided in a month */
|
|
1349
420
|
readonly G6: "G6";
|
|
421
|
+
/**
|
|
422
|
+
* Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening */
|
|
1350
423
|
readonly G7: "G7";
|
|
424
|
+
/**
|
|
425
|
+
* Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure */
|
|
1351
426
|
readonly G8: "G8";
|
|
427
|
+
/**
|
|
428
|
+
* Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition */
|
|
1352
429
|
readonly G9: "G9";
|
|
430
|
+
/**
|
|
431
|
+
* Waiver of liability statement issued as required by payer policy, individual case */
|
|
1353
432
|
readonly Ga: "GA";
|
|
433
|
+
/**
|
|
434
|
+
* Claim being re-submitted for payment because it is no longer covered under a global payment demonstration */
|
|
1354
435
|
readonly Gb: "GB";
|
|
436
|
+
/**
|
|
437
|
+
* This service has been performed in part by a resident under the direction of a teaching physician */
|
|
1355
438
|
readonly Gc: "GC";
|
|
439
|
+
/**
|
|
440
|
+
* This service has been performed by a resident without the presence of a teaching physician under the primary care exception */
|
|
1356
441
|
readonly Ge: "GE";
|
|
442
|
+
/**
|
|
443
|
+
* Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital */
|
|
1357
444
|
readonly Gf: "GF";
|
|
445
|
+
/**
|
|
446
|
+
* Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day */
|
|
1358
447
|
readonly Gg: "GG";
|
|
448
|
+
/**
|
|
449
|
+
* Diagnostic mammogram converted from screening mammogram on same day */
|
|
1359
450
|
readonly Gh: "GH";
|
|
451
|
+
/**
|
|
452
|
+
* opt out physician or practitioner emergency or urgent service */
|
|
1360
453
|
readonly Gj: "GJ";
|
|
454
|
+
/**
|
|
455
|
+
* Reasonable and necessary item/service associated with a ga or gz modifier */
|
|
1361
456
|
readonly Gk: "GK";
|
|
457
|
+
/**
|
|
458
|
+
* Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) */
|
|
1362
459
|
readonly Gl: "GL";
|
|
460
|
+
/**
|
|
461
|
+
* Multiple patients on one ambulance trip */
|
|
1363
462
|
readonly Gm: "GM";
|
|
463
|
+
/**
|
|
464
|
+
* Services delivered under an outpatient speech-language pathology plan of care */
|
|
1364
465
|
readonly Gn: "GN";
|
|
466
|
+
/**
|
|
467
|
+
* Service delivered personally by an occupational therapist or under an outpatient occupational therapy plan of care */
|
|
1365
468
|
readonly Go: "GO";
|
|
469
|
+
/**
|
|
470
|
+
* Service delivered personally by a physical therapist or under an outpatient physical therapy plan of care */
|
|
1366
471
|
readonly Gp: "GP";
|
|
472
|
+
/**
|
|
473
|
+
* Services provided via an asynchronous telecommunications system */
|
|
1367
474
|
readonly Gq: "GQ";
|
|
475
|
+
/**
|
|
476
|
+
* 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 */
|
|
1368
477
|
readonly Gr: "GR";
|
|
478
|
+
/**
|
|
479
|
+
* Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level */
|
|
1369
480
|
readonly Gs: "GS";
|
|
481
|
+
/**
|
|
482
|
+
* Services took place via an interactive audio and video telecommunications system */
|
|
1370
483
|
readonly Gt: "GT";
|
|
484
|
+
/**
|
|
485
|
+
* Waiver of liability statement issued as required by payer policy, routine notice */
|
|
1371
486
|
readonly Gu: "GU";
|
|
487
|
+
/**
|
|
488
|
+
* Attending physician not employed or paid under arrangement by the patient's hospice provider */
|
|
1372
489
|
readonly Gv: "GV";
|
|
490
|
+
/**
|
|
491
|
+
* Service not related to the hospice patient's terminal condition */
|
|
1373
492
|
readonly Gw: "GW";
|
|
493
|
+
/**
|
|
494
|
+
* Notice of liability issued, voluntary under payer policy */
|
|
1374
495
|
readonly Gx: "GX";
|
|
496
|
+
/**
|
|
497
|
+
* Not a covered benefit */
|
|
1375
498
|
readonly Gy: "GY";
|
|
499
|
+
/**
|
|
500
|
+
* Item or service expected to be denied as not reasonable and necessary */
|
|
1376
501
|
readonly Gz: "GZ";
|
|
502
|
+
/**
|
|
503
|
+
* Child/adolescent program */
|
|
1377
504
|
readonly Ha: "HA";
|
|
505
|
+
/**
|
|
506
|
+
* Adult program, non geriatric */
|
|
1378
507
|
readonly Hb: "HB";
|
|
508
|
+
/**
|
|
509
|
+
* Adult program, geriatric */
|
|
1379
510
|
readonly Hc: "HC";
|
|
511
|
+
/**
|
|
512
|
+
* Pregnant/parenting women's program */
|
|
1380
513
|
readonly Hd: "HD";
|
|
514
|
+
/**
|
|
515
|
+
* Mental health program */
|
|
1381
516
|
readonly He: "HE";
|
|
517
|
+
/**
|
|
518
|
+
* Substance abuse program */
|
|
1382
519
|
readonly Hf: "HF";
|
|
520
|
+
/**
|
|
521
|
+
* Opioid addiction treatment program */
|
|
1383
522
|
readonly Hg: "HG";
|
|
523
|
+
/**
|
|
524
|
+
* Integrated mental health/substance abuse program */
|
|
1384
525
|
readonly Hh: "HH";
|
|
526
|
+
/**
|
|
527
|
+
* Integrated mental health and intellectual disability/developmental disabilities program */
|
|
1385
528
|
readonly Hi: "HI";
|
|
529
|
+
/**
|
|
530
|
+
* Employee assistance program */
|
|
1386
531
|
readonly Hj: "HJ";
|
|
532
|
+
/**
|
|
533
|
+
* Specialized mental health programs for high-risk populations */
|
|
1387
534
|
readonly Hk: "HK";
|
|
535
|
+
/**
|
|
536
|
+
* Intern */
|
|
1388
537
|
readonly Hl: "HL";
|
|
538
|
+
/**
|
|
539
|
+
* The rendering provider has a highest educational attainment of less than a bachelor's degree */
|
|
1389
540
|
readonly Hm: "HM";
|
|
541
|
+
/**
|
|
542
|
+
* The rendering provider has a highest educational attainment of a bachelor's degree */
|
|
1390
543
|
readonly Hn: "HN";
|
|
544
|
+
/**
|
|
545
|
+
* The rendering provider has a highest educational attainment of a master's degree */
|
|
1391
546
|
readonly Ho: "HO";
|
|
547
|
+
/**
|
|
548
|
+
* The rendering provider has a highest educational attainment of a doctoral degree */
|
|
1392
549
|
readonly Hp: "HP";
|
|
550
|
+
/**
|
|
551
|
+
* Group setting */
|
|
1393
552
|
readonly Hq: "HQ";
|
|
553
|
+
/**
|
|
554
|
+
* Family/couple with client present */
|
|
1394
555
|
readonly Hr: "HR";
|
|
556
|
+
/**
|
|
557
|
+
* Family/couple without client present */
|
|
1395
558
|
readonly Hs: "HS";
|
|
559
|
+
/**
|
|
560
|
+
* Multi-disciplinary team */
|
|
1396
561
|
readonly Ht: "HT";
|
|
562
|
+
/**
|
|
563
|
+
* Funded by child welfare agency */
|
|
1397
564
|
readonly Hu: "HU";
|
|
565
|
+
/**
|
|
566
|
+
* Funded by state addictions agency */
|
|
1398
567
|
readonly Hv: "HV";
|
|
568
|
+
/**
|
|
569
|
+
* Funded by state mental health agency */
|
|
1399
570
|
readonly Hw: "HW";
|
|
571
|
+
/**
|
|
572
|
+
* Funded by county/local agency */
|
|
1400
573
|
readonly Hx: "HX";
|
|
574
|
+
/**
|
|
575
|
+
* Funded by juvenile justice agency */
|
|
1401
576
|
readonly Hy: "HY";
|
|
577
|
+
/**
|
|
578
|
+
* Funded by criminal justice agency */
|
|
1402
579
|
readonly Hz: "HZ";
|
|
580
|
+
/**
|
|
581
|
+
* Competitive acquisition program no-pay submission for a prescription number */
|
|
1403
582
|
readonly J1: "J1";
|
|
583
|
+
/**
|
|
584
|
+
* Competitive acquisition program, restocking of emergency drugs after emergency administration */
|
|
1404
585
|
readonly J2: "J2";
|
|
586
|
+
/**
|
|
587
|
+
* Competitive acquisition program (cap) reimbursed under average sales price methodology */
|
|
1405
588
|
readonly J3: "J3";
|
|
589
|
+
/**
|
|
590
|
+
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished by a hospital upon discharge */
|
|
1406
591
|
readonly J4: "J4";
|
|
592
|
+
/**
|
|
593
|
+
* Off-the-shelf orthotic subject to DMEPOS competitive bidding program */
|
|
1407
594
|
readonly J5: "J5";
|
|
595
|
+
/**
|
|
596
|
+
* Administered intravenously */
|
|
1408
597
|
readonly Ja: "JA";
|
|
598
|
+
/**
|
|
599
|
+
* Administered subcutaneously */
|
|
1409
600
|
readonly Jb: "JB";
|
|
601
|
+
/**
|
|
602
|
+
* Skin substitute used as a graft */
|
|
1410
603
|
readonly Jc: "JC";
|
|
604
|
+
/**
|
|
605
|
+
* Skin substitute not used as a graft */
|
|
1411
606
|
readonly Jd: "JD";
|
|
607
|
+
/**
|
|
608
|
+
* Administered via dialysate */
|
|
1412
609
|
readonly Je: "JE";
|
|
610
|
+
/**
|
|
611
|
+
* Drug or biological acquired with 340b drug pricing program discount */
|
|
1413
612
|
readonly Jg: "JG";
|
|
613
|
+
/**
|
|
614
|
+
* Drug amount discarded/not administered to any patient */
|
|
1414
615
|
readonly Jw: "JW";
|
|
616
|
+
/**
|
|
617
|
+
* Zero drug amount discarded/not administered to any patient */
|
|
1415
618
|
readonly Jz: "JZ";
|
|
619
|
+
/**
|
|
620
|
+
* Lower extremity prosthesis functional level 0 */
|
|
1416
621
|
readonly K0: "K0";
|
|
622
|
+
/**
|
|
623
|
+
* Lower extremity prosthesis functional level 1 */
|
|
1417
624
|
readonly K1: "K1";
|
|
625
|
+
/**
|
|
626
|
+
* Lower extremity prosthesis functional level 2 */
|
|
1418
627
|
readonly K2: "K2";
|
|
628
|
+
/**
|
|
629
|
+
* Lower extremity prosthesis functional level 3 */
|
|
1419
630
|
readonly K3: "K3";
|
|
631
|
+
/**
|
|
632
|
+
* Lower extremity prosthesis functional level 4 */
|
|
1420
633
|
readonly K4: "K4";
|
|
634
|
+
/**
|
|
635
|
+
* Add on option/accessory for wheelchair */
|
|
1421
636
|
readonly Ka: "KA";
|
|
637
|
+
/**
|
|
638
|
+
* Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim */
|
|
1422
639
|
readonly Kb: "KB";
|
|
640
|
+
/**
|
|
641
|
+
* Replacement of special power wheelchair interface */
|
|
1423
642
|
readonly Kc: "KC";
|
|
643
|
+
/**
|
|
644
|
+
* Drug or biological infused through DME */
|
|
1424
645
|
readonly Kd: "KD";
|
|
646
|
+
/**
|
|
647
|
+
* Bid under round one of the DMEPOS competitive bidding program */
|
|
1425
648
|
readonly Ke: "KE";
|
|
649
|
+
/**
|
|
650
|
+
* Item designated by FDA as class III device */
|
|
1426
651
|
readonly Kf: "KF";
|
|
652
|
+
/**
|
|
653
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 1 */
|
|
1427
654
|
readonly Kg: "KG";
|
|
655
|
+
/**
|
|
656
|
+
* DMEPOS item, initial claim, purchase or first month rental */
|
|
1428
657
|
readonly Kh: "KH";
|
|
658
|
+
/**
|
|
659
|
+
* DMEPOS item, second or third month rental */
|
|
1429
660
|
readonly Ki: "KI";
|
|
661
|
+
/**
|
|
662
|
+
* DMEPOS item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen */
|
|
1430
663
|
readonly Kj: "KJ";
|
|
664
|
+
/**
|
|
665
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 2 */
|
|
1431
666
|
readonly Kk: "KK";
|
|
667
|
+
/**
|
|
668
|
+
* DMEPOS item delivered via mail */
|
|
1432
669
|
readonly Kl: "KL";
|
|
670
|
+
/**
|
|
671
|
+
* Replacement of facial prosthesis including new impression/moulage */
|
|
1433
672
|
readonly Km: "KM";
|
|
673
|
+
/**
|
|
674
|
+
* Replacement of facial prosthesis using previous master model */
|
|
1434
675
|
readonly Kn: "KN";
|
|
676
|
+
/**
|
|
677
|
+
* Single drug unit dose formulation */
|
|
1435
678
|
readonly Ko: "KO";
|
|
679
|
+
/**
|
|
680
|
+
* First drug of a multiple drug unit dose formulation */
|
|
1436
681
|
readonly Kp: "KP";
|
|
682
|
+
/**
|
|
683
|
+
* Second or subsequent drug of a multiple drug unit dose formulation */
|
|
1437
684
|
readonly Kq: "KQ";
|
|
685
|
+
/**
|
|
686
|
+
* Rental item, billing for partial month */
|
|
1438
687
|
readonly Kr: "KR";
|
|
688
|
+
/**
|
|
689
|
+
* Glucose monitor supply for diabetic beneficiary not treated with insulin */
|
|
1439
690
|
readonly Ks: "KS";
|
|
691
|
+
/**
|
|
692
|
+
* Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area */
|
|
1440
693
|
readonly Kt: "KT";
|
|
694
|
+
/**
|
|
695
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 3 */
|
|
1441
696
|
readonly Ku: "KU";
|
|
697
|
+
/**
|
|
698
|
+
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished as part of a professional service */
|
|
1442
699
|
readonly Kv: "KV";
|
|
700
|
+
/**
|
|
701
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 4 */
|
|
1443
702
|
readonly Kw: "KW";
|
|
703
|
+
/**
|
|
704
|
+
* Requirements specified in the medical policy have been met */
|
|
1444
705
|
readonly Kx: "KX";
|
|
706
|
+
/**
|
|
707
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 5 */
|
|
1445
708
|
readonly Ky: "KY";
|
|
709
|
+
/**
|
|
710
|
+
* New coverage not implemented by managed care */
|
|
1446
711
|
readonly Kz: "KZ";
|
|
712
|
+
/**
|
|
713
|
+
* Left circumflex coronary artery */
|
|
1447
714
|
readonly Lc: "LC";
|
|
715
|
+
/**
|
|
716
|
+
* Left anterior descending coronary artery */
|
|
1448
717
|
readonly Ld: "LD";
|
|
718
|
+
/**
|
|
719
|
+
* Lease/rental */
|
|
1449
720
|
readonly Ll: "LL";
|
|
721
|
+
/**
|
|
722
|
+
* Left main coronary artery */
|
|
1450
723
|
readonly Lm: "LM";
|
|
724
|
+
/**
|
|
725
|
+
* Laboratory round trip */
|
|
1451
726
|
readonly Lr: "LR";
|
|
727
|
+
/**
|
|
728
|
+
* FDA-monitored intraocular lens implant */
|
|
1452
729
|
readonly Ls: "LS";
|
|
730
|
+
/**
|
|
731
|
+
* Left side (used to identify procedures performed on the left side of the body) */
|
|
1453
732
|
readonly Lt: "LT";
|
|
733
|
+
/**
|
|
734
|
+
* Fractionated payment of CAR-T therapy */
|
|
1454
735
|
readonly Lu: "LU";
|
|
736
|
+
/**
|
|
737
|
+
* Medicare secondary payer */
|
|
1455
738
|
readonly M2: "M2";
|
|
739
|
+
/**
|
|
740
|
+
* Not required to consult clinical decision support... for patient with a suspected or confirmed emergency medical condition */
|
|
1456
741
|
readonly Ma: "MA";
|
|
742
|
+
/**
|
|
743
|
+
* Not required to consult clinical decision support mechanism due to insufficient internet access */
|
|
1457
744
|
readonly Mb: "MB";
|
|
745
|
+
/**
|
|
746
|
+
* Not required to consult clinical decision support mechanism due to electronic health record vendor issues */
|
|
1458
747
|
readonly Mc: "MC";
|
|
748
|
+
/**
|
|
749
|
+
* Not required to consult clinical decision support mechanism due to extreme/uncontrollable circumstances */
|
|
1459
750
|
readonly Md: "MD";
|
|
751
|
+
/**
|
|
752
|
+
* Adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
1460
753
|
readonly Me: "ME";
|
|
754
|
+
/**
|
|
755
|
+
* Does not adhere to the criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
1461
756
|
readonly Mf: "MF";
|
|
757
|
+
/**
|
|
758
|
+
* Does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
1462
759
|
readonly Mg: "MG";
|
|
760
|
+
/**
|
|
761
|
+
* Unknown if ordering professional consulted a clinical decision support mechanism for this service */
|
|
1463
762
|
readonly Mh: "MH";
|
|
763
|
+
/**
|
|
764
|
+
* Six month maintenance and servicing fee for parts and labor, not covered under any manufacturer or supplier warranty */
|
|
1464
765
|
readonly Ms: "MS";
|
|
766
|
+
/**
|
|
767
|
+
* Group 1 oxygen coverage criteria met */
|
|
1465
768
|
readonly N1: "N1";
|
|
769
|
+
/**
|
|
770
|
+
* Group 2 oxygen coverage criteria met */
|
|
1466
771
|
readonly N2: "N2";
|
|
772
|
+
/**
|
|
773
|
+
* Group 3 oxygen coverage criteria met */
|
|
1467
774
|
readonly N3: "N3";
|
|
775
|
+
/**
|
|
776
|
+
* Nebulizer system, any type, FDA-cleared for use with specific drug */
|
|
1468
777
|
readonly Nb: "NB";
|
|
778
|
+
/**
|
|
779
|
+
* New when rented */
|
|
1469
780
|
readonly Nr: "NR";
|
|
781
|
+
/**
|
|
782
|
+
* New durable medical equipment purchase */
|
|
1470
783
|
readonly Nu: "NU";
|
|
784
|
+
/**
|
|
785
|
+
* A normal healthy patient */
|
|
1471
786
|
readonly P1: "P1";
|
|
787
|
+
/**
|
|
788
|
+
* A patient with a mild systemic disease */
|
|
1472
789
|
readonly P2: "P2";
|
|
790
|
+
/**
|
|
791
|
+
* A patient with severe systemic disease */
|
|
1473
792
|
readonly P3: "P3";
|
|
793
|
+
/**
|
|
794
|
+
* A patient with severe systemic disease that is a constant threat to life */
|
|
1474
795
|
readonly P4: "P4";
|
|
796
|
+
/**
|
|
797
|
+
* A moribund patient who is not expected to survive without the operation */
|
|
1475
798
|
readonly P5: "P5";
|
|
799
|
+
/**
|
|
800
|
+
* A declared brain-dead patient whose organs are being removed for donor purposes */
|
|
1476
801
|
readonly P6: "P6";
|
|
802
|
+
/**
|
|
803
|
+
* Surgical or other invasive procedure on wrong body part */
|
|
1477
804
|
readonly Pa: "PA";
|
|
805
|
+
/**
|
|
806
|
+
* Surgical or other invasive procedure on wrong patient */
|
|
1478
807
|
readonly Pb: "PB";
|
|
808
|
+
/**
|
|
809
|
+
* Wrong surgery or other invasive procedure on patient */
|
|
1479
810
|
readonly Pc: "PC";
|
|
811
|
+
/**
|
|
812
|
+
* Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days */
|
|
1480
813
|
readonly Pd: "PD";
|
|
814
|
+
/**
|
|
815
|
+
* Positron emission tomography (PET) or PET/computed tomography (CT) */
|
|
1481
816
|
readonly Pi: "PI";
|
|
817
|
+
/**
|
|
818
|
+
* Progressive addition lenses */
|
|
1482
819
|
readonly Pl: "PL";
|
|
820
|
+
/**
|
|
821
|
+
* Post-mortem */
|
|
1483
822
|
readonly Pm: "PM";
|
|
823
|
+
/**
|
|
824
|
+
* Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
1484
825
|
readonly Pn: "PN";
|
|
826
|
+
/**
|
|
827
|
+
* Excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
1485
828
|
readonly Po: "PO";
|
|
829
|
+
/**
|
|
830
|
+
* Positron emission tomography (PET) or pet/computed tomography (CT) to inform the treatment strategy of cancerous tumors */
|
|
1486
831
|
readonly Ps: "PS";
|
|
832
|
+
/**
|
|
833
|
+
* Colorectal cancer screening test; converted to diagnostic test or other procedure */
|
|
1487
834
|
readonly Pt: "PT";
|
|
835
|
+
/**
|
|
836
|
+
* Investigational clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
1488
837
|
readonly Q0: "Q0";
|
|
838
|
+
/**
|
|
839
|
+
* Routine clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
1489
840
|
readonly Q1: "Q1";
|
|
841
|
+
/**
|
|
842
|
+
* Demonstration procedure/service */
|
|
1490
843
|
readonly Q2: "Q2";
|
|
844
|
+
/**
|
|
845
|
+
* Live kidney donor surgery and related services */
|
|
1491
846
|
readonly Q3: "Q3";
|
|
847
|
+
/**
|
|
848
|
+
* Service for ordering/referring physician qualifies as a service exemption */
|
|
1492
849
|
readonly Q4: "Q4";
|
|
850
|
+
/**
|
|
851
|
+
* Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
1493
852
|
readonly Q5: "Q5";
|
|
853
|
+
/**
|
|
854
|
+
* Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
1494
855
|
readonly Q6: "Q6";
|
|
856
|
+
/**
|
|
857
|
+
* One Class A finding */
|
|
1495
858
|
readonly Q7: "Q7";
|
|
859
|
+
/**
|
|
860
|
+
* Two Class A findings */
|
|
1496
861
|
readonly Q8: "Q8";
|
|
862
|
+
/**
|
|
863
|
+
* One Class B and two Class C findings */
|
|
1497
864
|
readonly Q9: "Q9";
|
|
865
|
+
/**
|
|
866
|
+
* Prescribed amounts of stationary oxygen for daytime use differ ... <1 liter per minute */
|
|
1498
867
|
readonly Qa: "QA";
|
|
868
|
+
/**
|
|
869
|
+
* Prescribed amounts of stationary oxygen for daytime use differ ... >4 liters per minute */
|
|
1499
870
|
readonly Qb: "QB";
|
|
871
|
+
/**
|
|
872
|
+
* Single channel monitoring */
|
|
1500
873
|
readonly Qc: "QC";
|
|
874
|
+
/**
|
|
875
|
+
* Recording and storage in solid state memory by a digital recorder */
|
|
1501
876
|
readonly Qd: "QD";
|
|
877
|
+
/**
|
|
878
|
+
* Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm) */
|
|
1502
879
|
readonly Qe: "QE";
|
|
880
|
+
/**
|
|
881
|
+
* Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed */
|
|
1503
882
|
readonly Qf: "QF";
|
|
883
|
+
/**
|
|
884
|
+
* Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm) */
|
|
1504
885
|
readonly Qg: "QG";
|
|
886
|
+
/**
|
|
887
|
+
* Oxygen conserving device is being used with an oxygen delivery system */
|
|
1505
888
|
readonly Qh: "QH";
|
|
889
|
+
/**
|
|
890
|
+
* Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) */
|
|
1506
891
|
readonly Qj: "QJ";
|
|
892
|
+
/**
|
|
893
|
+
* Medical direction of two, three, or four concurrent anesthesia procedure involving qualified individuals */
|
|
1507
894
|
readonly Qk: "QK";
|
|
895
|
+
/**
|
|
896
|
+
* Patient pronounced dead after ambulance called */
|
|
1508
897
|
readonly Ql: "QL";
|
|
898
|
+
/**
|
|
899
|
+
* Ambulance service provided under arrangement by a provider of services */
|
|
1509
900
|
readonly Qm: "QM";
|
|
901
|
+
/**
|
|
902
|
+
* Ambulance service furnished directly by a provider of services */
|
|
1510
903
|
readonly Qn: "QN";
|
|
904
|
+
/**
|
|
905
|
+
* Laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes */
|
|
1511
906
|
readonly Qp: "QP";
|
|
907
|
+
/**
|
|
908
|
+
* Ordering professional consulted a qualified clinical decision support mechanism for this service */
|
|
1512
909
|
readonly Qq: "QQ";
|
|
910
|
+
/**
|
|
911
|
+
* Amounts of stationary oxygen for daytime use and nighttime use differ; average of the amounts >4 liters per minute */
|
|
1513
912
|
readonly Qr: "QR";
|
|
913
|
+
/**
|
|
914
|
+
* Monitored anesthesia care service */
|
|
1514
915
|
readonly Qs: "QS";
|
|
916
|
+
/**
|
|
917
|
+
* Recording and storage on tape by an analog tape recorder */
|
|
1515
918
|
readonly Qt: "QT";
|
|
919
|
+
/**
|
|
920
|
+
* CLIA waived */
|
|
1516
921
|
readonly Qw: "QW";
|
|
922
|
+
/**
|
|
923
|
+
* CRNA service: with medical direction by a physician */
|
|
1517
924
|
readonly Qx: "QX";
|
|
925
|
+
/**
|
|
926
|
+
* Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist */
|
|
1518
927
|
readonly Qy: "QY";
|
|
928
|
+
/**
|
|
929
|
+
* CRNA service: without medical direction by a physician */
|
|
1519
930
|
readonly Qz: "QZ";
|
|
931
|
+
/**
|
|
932
|
+
* Replacement of a DME, orthotic or prosthetic item */
|
|
1520
933
|
readonly Ra: "RA";
|
|
934
|
+
/**
|
|
935
|
+
* Replacement of a part of a DME, orthotic or prosthetic item */
|
|
1521
936
|
readonly Rb: "RB";
|
|
937
|
+
/**
|
|
938
|
+
* Right coronary artery */
|
|
1522
939
|
readonly Rc: "RC";
|
|
940
|
+
/**
|
|
941
|
+
* Drug provided to beneficiary, but not administered 'incident-to' */
|
|
1523
942
|
readonly Rd: "RD";
|
|
943
|
+
/**
|
|
944
|
+
* Furnished in full compliance with FDA-mandated risk evaluation and mitigation strategy (REMS) */
|
|
1524
945
|
readonly Re: "RE";
|
|
946
|
+
/**
|
|
947
|
+
* Ramus intermedius coronary artery */
|
|
1525
948
|
readonly Ri: "RI";
|
|
949
|
+
/**
|
|
950
|
+
* Rental (Use this ‘RR' modifier when DME is to be rented) */
|
|
1526
951
|
readonly Rr: "RR";
|
|
952
|
+
/**
|
|
953
|
+
* Right side (used to identify procedures performed on the right side of the body) */
|
|
1527
954
|
readonly Rt: "RT";
|
|
955
|
+
/**
|
|
956
|
+
* Physician assistant, nurse practitioner, or clinical nurse specialist services for non-surgical services */
|
|
1528
957
|
readonly Sa: "SA";
|
|
958
|
+
/**
|
|
959
|
+
* Nurse midwife */
|
|
1529
960
|
readonly Sb: "SB";
|
|
961
|
+
/**
|
|
962
|
+
* Medically necessary service or supply */
|
|
1530
963
|
readonly Sc: "SC";
|
|
964
|
+
/**
|
|
965
|
+
* Services provided by registered nurse with specialized, highly technical home infusion training */
|
|
1531
966
|
readonly Sd: "SD";
|
|
967
|
+
/**
|
|
968
|
+
* State- and/or federally-funded programs/services */
|
|
1532
969
|
readonly Se: "SE";
|
|
970
|
+
/**
|
|
971
|
+
* Second opinion ordered by a professional review organization (PRO) per section 9401, p.l. 99-272 */
|
|
1533
972
|
readonly Sf: "SF";
|
|
973
|
+
/**
|
|
974
|
+
* Ambulatory surgical center (ASC) facility service */
|
|
1534
975
|
readonly Sg: "SG";
|
|
976
|
+
/**
|
|
977
|
+
* Second concurrently administered infusion therapy */
|
|
1535
978
|
readonly Sh: "SH";
|
|
979
|
+
/**
|
|
980
|
+
* Third or more concurrently administered infusion therapy */
|
|
1536
981
|
readonly Sj: "SJ";
|
|
982
|
+
/**
|
|
983
|
+
* Addresses reimbursement guidelines for vaccines provided at no cost to the provider by a state or federal agency */
|
|
1537
984
|
readonly Sl: "SL";
|
|
985
|
+
/**
|
|
986
|
+
* Second surgical opinion */
|
|
1538
987
|
readonly Sm: "SM";
|
|
988
|
+
/**
|
|
989
|
+
* Third surgical opinion */
|
|
1539
990
|
readonly Sn: "SN";
|
|
991
|
+
/**
|
|
992
|
+
* Item ordered by home health */
|
|
1540
993
|
readonly Sq: "SQ";
|
|
994
|
+
/**
|
|
995
|
+
* Home infusion services provided in the infusion suite of the IV therapy provider */
|
|
1541
996
|
readonly Ss: "SS";
|
|
997
|
+
/**
|
|
998
|
+
* Related to trauma or injury */
|
|
1542
999
|
readonly St: "ST";
|
|
1000
|
+
/**
|
|
1001
|
+
* Procedure performed in physician's office (to denote use of facility and equipment) */
|
|
1543
1002
|
readonly Su: "SU";
|
|
1003
|
+
/**
|
|
1004
|
+
* Pharamceuticals delivered to patient's home but not utilized */
|
|
1544
1005
|
readonly Sv: "SV";
|
|
1006
|
+
/**
|
|
1007
|
+
* Services provided by a certified diabetic educator */
|
|
1545
1008
|
readonly Sw: "SW";
|
|
1009
|
+
/**
|
|
1010
|
+
* Persons who are in close contact with member of high-risk population (use only with codes for immunization) */
|
|
1546
1011
|
readonly Sy: "SY";
|
|
1012
|
+
/**
|
|
1013
|
+
* Left foot, second digit */
|
|
1547
1014
|
readonly T1: "T1";
|
|
1015
|
+
/**
|
|
1016
|
+
* Left foot, third digit */
|
|
1548
1017
|
readonly T2: "T2";
|
|
1018
|
+
/**
|
|
1019
|
+
* Left foot, fourth digit */
|
|
1549
1020
|
readonly T3: "T3";
|
|
1021
|
+
/**
|
|
1022
|
+
* Left foot, fifth digit */
|
|
1550
1023
|
readonly T4: "T4";
|
|
1024
|
+
/**
|
|
1025
|
+
* Right foot, great toe */
|
|
1551
1026
|
readonly T5: "T5";
|
|
1027
|
+
/**
|
|
1028
|
+
* Right foot, second digit */
|
|
1552
1029
|
readonly T6: "T6";
|
|
1030
|
+
/**
|
|
1031
|
+
* Right foot, third digit */
|
|
1553
1032
|
readonly T7: "T7";
|
|
1033
|
+
/**
|
|
1034
|
+
* Right foot, fourth digit */
|
|
1554
1035
|
readonly T8: "T8";
|
|
1036
|
+
/**
|
|
1037
|
+
* Right foot, fifth digit */
|
|
1555
1038
|
readonly T9: "T9";
|
|
1039
|
+
/**
|
|
1040
|
+
* Left foot, great toe */
|
|
1556
1041
|
readonly Ta: "TA";
|
|
1042
|
+
/**
|
|
1043
|
+
* Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes */
|
|
1557
1044
|
readonly Tb: "TB";
|
|
1045
|
+
/**
|
|
1046
|
+
* Technical Component */
|
|
1558
1047
|
readonly Tc: "TC";
|
|
1048
|
+
/**
|
|
1049
|
+
* Registered nurse (RN) */
|
|
1559
1050
|
readonly Td: "TD";
|
|
1051
|
+
/**
|
|
1052
|
+
* Licensed vocational nurse (LVN) or licensed practical nurse (LPN) */
|
|
1560
1053
|
readonly Te: "TE";
|
|
1054
|
+
/**
|
|
1055
|
+
* Intermediate level of care */
|
|
1561
1056
|
readonly Tf: "TF";
|
|
1057
|
+
/**
|
|
1058
|
+
* Complex/high tech level of care */
|
|
1562
1059
|
readonly Tg: "TG";
|
|
1060
|
+
/**
|
|
1061
|
+
* Obstetrical treatment/services, prenatal or postpart */
|
|
1563
1062
|
readonly Th: "TH";
|
|
1063
|
+
/**
|
|
1064
|
+
* Program group, child and/or adolescent */
|
|
1564
1065
|
readonly Tj: "TJ";
|
|
1066
|
+
/**
|
|
1067
|
+
* Extra patient or passenger, non-ambulance */
|
|
1565
1068
|
readonly Tk: "TK";
|
|
1069
|
+
/**
|
|
1070
|
+
* Early Intervention/Individualized Family Service Plan */
|
|
1566
1071
|
readonly Tl: "TL";
|
|
1072
|
+
/**
|
|
1073
|
+
* Individualized education program (IEP) */
|
|
1567
1074
|
readonly Tm: "TM";
|
|
1075
|
+
/**
|
|
1076
|
+
* Rural/outside providers' customary service area */
|
|
1568
1077
|
readonly Tn: "TN";
|
|
1078
|
+
/**
|
|
1079
|
+
* Medical transport, unloaded vehicle */
|
|
1569
1080
|
readonly Tp: "TP";
|
|
1081
|
+
/**
|
|
1082
|
+
* Basic life support transport by a volunteer ambulance provider */
|
|
1570
1083
|
readonly Tq: "TQ";
|
|
1084
|
+
/**
|
|
1085
|
+
* School-based individualized education program (IEP) services provided outside the public school district */
|
|
1571
1086
|
readonly Tr: "TR";
|
|
1087
|
+
/**
|
|
1088
|
+
* Follow-up service */
|
|
1572
1089
|
readonly Ts: "TS";
|
|
1090
|
+
/**
|
|
1091
|
+
* Individualized service provided to more than one patient in same setting */
|
|
1573
1092
|
readonly Tt: "TT";
|
|
1093
|
+
/**
|
|
1094
|
+
* Special payment rate, overtime */
|
|
1574
1095
|
readonly Tu: "TU";
|
|
1096
|
+
/**
|
|
1097
|
+
* Special payment rates, holidays/weekends */
|
|
1575
1098
|
readonly Tv: "TV";
|
|
1099
|
+
/**
|
|
1100
|
+
* Back-up equipment */
|
|
1576
1101
|
readonly Tw: "TW";
|
|
1102
|
+
/**
|
|
1103
|
+
* Medicaid level of care 1, as defined by each state */
|
|
1577
1104
|
readonly U1: "U1";
|
|
1105
|
+
/**
|
|
1106
|
+
* Medicaid level of care 2, as defined by each state */
|
|
1578
1107
|
readonly U2: "U2";
|
|
1108
|
+
/**
|
|
1109
|
+
* Medicaid level of care 3, as defined by each state */
|
|
1579
1110
|
readonly U3: "U3";
|
|
1111
|
+
/**
|
|
1112
|
+
* Medicaid level of care 4, as defined by each state */
|
|
1580
1113
|
readonly U4: "U4";
|
|
1114
|
+
/**
|
|
1115
|
+
* Medicaid level of care 5, as defined by each state */
|
|
1581
1116
|
readonly U5: "U5";
|
|
1117
|
+
/**
|
|
1118
|
+
* Medicaid level of care 6, as defined by each state */
|
|
1582
1119
|
readonly U6: "U6";
|
|
1120
|
+
/**
|
|
1121
|
+
* Medicaid level of care 7, as defined by each state */
|
|
1583
1122
|
readonly U7: "U7";
|
|
1123
|
+
/**
|
|
1124
|
+
* Medicaid level of care 8, as defined by each state */
|
|
1584
1125
|
readonly U8: "U8";
|
|
1126
|
+
/**
|
|
1127
|
+
* Medicaid level of care 9, as defined by each state */
|
|
1585
1128
|
readonly U9: "U9";
|
|
1129
|
+
/**
|
|
1130
|
+
* Medicaid level of care 10, as defined by each state */
|
|
1586
1131
|
readonly Ua: "UA";
|
|
1132
|
+
/**
|
|
1133
|
+
* Medicaid level of care 11, as defined by each state */
|
|
1587
1134
|
readonly Ub: "UB";
|
|
1135
|
+
/**
|
|
1136
|
+
* Medicaid level of care 12, as defined by each state */
|
|
1588
1137
|
readonly Uc: "UC";
|
|
1138
|
+
/**
|
|
1139
|
+
* Medicaid level of care 13, as defined by each state */
|
|
1589
1140
|
readonly Ud: "UD";
|
|
1141
|
+
/**
|
|
1142
|
+
* Used durable medical equipment */
|
|
1590
1143
|
readonly Ue: "UE";
|
|
1144
|
+
/**
|
|
1145
|
+
* Services provided in the morning */
|
|
1591
1146
|
readonly Uf: "UF";
|
|
1147
|
+
/**
|
|
1148
|
+
* Services provided in the afternoon */
|
|
1592
1149
|
readonly Ug: "UG";
|
|
1150
|
+
/**
|
|
1151
|
+
* Services provided in the evening */
|
|
1593
1152
|
readonly Uh: "UH";
|
|
1153
|
+
/**
|
|
1154
|
+
* Services provided at night */
|
|
1594
1155
|
readonly Uj: "UJ";
|
|
1156
|
+
/**
|
|
1157
|
+
* Services provided on behalf of the client to someone other than the client (collateral relationship) */
|
|
1595
1158
|
readonly Uk: "UK";
|
|
1159
|
+
/**
|
|
1160
|
+
* Two patients served */
|
|
1596
1161
|
readonly Un: "UN";
|
|
1162
|
+
/**
|
|
1163
|
+
* Three patients served */
|
|
1597
1164
|
readonly Up: "UP";
|
|
1165
|
+
/**
|
|
1166
|
+
* Four patients served */
|
|
1598
1167
|
readonly Uq: "UQ";
|
|
1168
|
+
/**
|
|
1169
|
+
* Five patients served */
|
|
1599
1170
|
readonly Ur: "UR";
|
|
1171
|
+
/**
|
|
1172
|
+
* Six patients served */
|
|
1600
1173
|
readonly Us: "US";
|
|
1174
|
+
/**
|
|
1175
|
+
* One patient visit in a month */
|
|
1601
1176
|
readonly V1: "V1";
|
|
1177
|
+
/**
|
|
1178
|
+
* Two patient visits in a month */
|
|
1602
1179
|
readonly V2: "V2";
|
|
1180
|
+
/**
|
|
1181
|
+
* Three patient visits in a month */
|
|
1603
1182
|
readonly V3: "V3";
|
|
1183
|
+
/**
|
|
1184
|
+
* Indicates that the service was provided under a state-mandated reimbursement rate for workers' compensation claims */
|
|
1604
1185
|
readonly W1: "W1";
|
|
1186
|
+
/**
|
|
1187
|
+
* Used when a Medicare Set-Aside (MSA) account is used to pay for services related to a workers' compensation settlement */
|
|
1605
1188
|
readonly W2: "W2";
|
|
1189
|
+
/**
|
|
1190
|
+
* The treatment was approved under the workers’ compensation plan */
|
|
1606
1191
|
readonly W3: "W3";
|
|
1192
|
+
/**
|
|
1193
|
+
* Episodic/Focused Services - Reported by a specialty focused clinician who provides care that is time-limited */
|
|
1607
1194
|
readonly X4: "X4";
|
|
1195
|
+
/**
|
|
1196
|
+
* Two or more separate patient visits on the same date of service */
|
|
1608
1197
|
readonly Xe: "XE";
|
|
1198
|
+
/**
|
|
1199
|
+
* A service that is distinct because it was performed by a different practitioner */
|
|
1609
1200
|
readonly Xp: "XP";
|
|
1201
|
+
/**
|
|
1202
|
+
* A service that is distinct because it was performed on a separate organ/structure */
|
|
1610
1203
|
readonly Xs: "XS";
|
|
1204
|
+
/**
|
|
1205
|
+
* The use of a service that is distinct because it does not overlap usual components of the main service */
|
|
1611
1206
|
readonly Xu: "XU";
|
|
1207
|
+
/**
|
|
1208
|
+
* Custom modifier */
|
|
1612
1209
|
readonly Xy: "XY";
|
|
1613
1210
|
};
|
|
1211
|
+
export type ProcedureModifier = (typeof ProcedureModifier)[keyof typeof ProcedureModifier];
|