Modifiers

Type of Modifier	Modifiers Listed
Additional Healthcare Common Procedure Coding System (HCPCS) Modifiers	AE, AF, AG, AI, AK, AM, AO, AT, AZ, BL, CA, CB, CG, CR, CT, DA, ER, ET, FB, FC, FX, FY, G7, GC, GE, GG, GJ, GU, J1, J2, J3, JC, JC, JD, JG, JW, KX, L1, M2, PD, PI, PO, PN, PS, PT, Q0, Q1, Q3, Q4, Q5, Q6, QQ, RD, RE, SC, SF, SS, SW, TB, TC, TS, UJ, UN, UP, UQ, UR, US, X1, X2, X3, X4, X5, XE, XP, XS, XU, ZA, ZB, ZC
Advance Beneficiary Notice of Noncoverage (ABN) Modifiers	GA, GX, GY, GZ
Ambulance Modifiers	D, E, G, H, I, J, N, P, R, S, X, GM, QL, QM, QN
Anatomical Modifiers (Coronary Artery, Eye Lid, Finger, Side of Body, Toe)	E1, E2, E3, E4, FA,F1,F2,F4, F5, F6, F7, F8, F9, LC, LD, LM, LT, RC, RI, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9 Note: These modifiers should be used in place of modifier 59 whenever possible.
Anesthesia Modifiers	AA, AD, G8, G9, P1, P2, P3, P4, P5,P6, QK, QS, QY, QX, QZ, 23, 33
Assistant at Surgery Modifiers	AS, 80, 81, 82
End Stage Renal Disease (ESRD) and Erythropoiesis Stimulating Agent (ESA) Modifiers	AX, EA, EB, EC, AY, ED, EE, EJ, EM, G1, G2, G3, G4, G5, G6, GS, JA, JB, JE, V5, V6, V7, V8, V9
Global Surgery Modifiers	24, 25, 54, 55, 57, 58, 78, 79 Note: Modifiers 24, 25, 57 apply to Evaluation and Management Services
Hospice Modifiers	GV, GW
Laboratory Modifiers	90, 91, 92, QW
Other Current Procedural Terminology (CPT) Modifiers	26, 27, 33, 59, 76, 77, 95, 96, 97
Podiatry Modifiers	Q7, Q8, Q9
Quality Reporting Incentive Programs Modifiers	1P, 2P, 3P, 8P, AQ, AR
Surgical Modifiers	22, 50, 51, 52, 53, 62, 66, 73, 74, PA, PB, PC
Telehealth Services Modifiers	GQ, GT, G0 (zero)
Therapy Modifiers	GN, GO, GP, KX, CH, CI, CJ, CK, CL, CM, CN

There are times when coding and modifier information issued by the Centers for Medicare & Medicaid Services differs from the American Medical Association regarding the use of modifiers. A clear understanding of Medicare's rules and regulations is necessary in order to assign the appropriate modifier.

Examples of when modifiers may be used:

Identification of professional or technical only components
Repeat services by the same or different provider
An increased, reduced or unusual service
Billing for components of a global surgical package
Identification of a specific body area
To designate a bilateral procedure
Identification of service in a clinical trial

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