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HCPCS Level II Modifiers Study Guide, Exams of Public Health

Chamberlain College of Nursing Public Health

This study guide provides a comprehensive list of level ii (hcpcs / national) modifiers used in medical coding. It includes modifiers for left and right sides of the body, specific anatomical locations such as eyelids, hands, and feet, as well as modifiers for various clinical scenarios like catastrophes, research studies, and ambulance services. Each modifier is clearly defined, making it a valuable resource for students and professionals in healthcare administration and medical billing. Useful for understanding the specific circumstances under which medical procedures are performed and billed, ensuring accurate claims processing and compliance with healthcare regulations. It is designed to aid in the memorization and application of these modifiers in real-world scenarios, enhancing coding accuracy and efficiency.

Typology: Exams

2025/2026

Available from 12/18/2025

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Level II (HCPCS / National) Modifiers –

Study Guide

LT - ✔ Left side of body

RT - ✔ Right side of body

AI - ✔ Principal Physician of Record

BL - ✔ Special acquisition of blood & blood products

CA - ✔ Procedure payable only in the inpatient setting

when performed emergently on an outpatient who expires

prior to admission.

CR - ✔ Catastrophe / disaster related

E1 - ✔ Upper left, eyelid

E2 - ✔ Lower left, eyelid

E3 - ✔ Upper right, eyelid

E4 - ✔ Lower right, eyelid

FA - ✔ Left hand, thumb

F1 - ✔ Left hand, second digit

F2 - ✔ Left hand, third digit

F3 - ✔ Left hand, fourth digit

F4 - ✔ Left hand, fifth digit

F5 - ✔ Right hand, thumb

F6 - ✔ Right hand, second digit

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Level II (HCPCS / National) Modifiers –

Study Guide

LT - ✔ Left side of body RT - ✔ Right side of body AI - ✔ Principal Physician of Record BL - ✔ Special acquisition of blood & blood products CA - ✔ Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission. CR - ✔ Catastrophe / disaster related E1 - ✔ Upper left, eyelid E2 - ✔ Lower left, eyelid E3 - ✔ Upper right, eyelid E4 - ✔ Lower right, eyelid FA - ✔ Left hand, thumb F1 - ✔ Left hand, second digit F2 - ✔ Left hand, third digit F3 - ✔ Left hand, fourth digit F4 - ✔ Left hand, fifth digit F5 - ✔ Right hand, thumb F6 - ✔ Right hand, second digit

F7 - ✔ Right hand, third digit F8 - ✔ Right hand, fourth digit F9 - ✔ Right hand, fifth digit FB - ✔ Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to covered under warranty, replaced due to defect, free samples) FC - ✔ Partial credit received for replaced device GA - ✔ Waiver of liability statement on file GG - ✔ Performance & payment of a screening mammogram & diagnostic mammogram on the same patient, same day GH - ✔ Diagnostic mammogram converted from screening mammogram on same day LC - ✔ Left circumflex, coronary artery LD - ✔ Left anterior descending coronary artery RC - ✔ Right coronary artery Q0 - ✔ Investigational clinical service provided in a clinical research study that is in an approved clinical research study Q1 - ✔ Routine clinical service provided in a clinical research study that is in an approved clinical research study QM - ✔ Ambulance service provided under arrangement by a provider of services

HCPCS Level II Modifiers Study Guide, Exams of Public Health

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Partial preview of the text

Download HCPCS Level II Modifiers Study Guide and more Exams Public Health in PDF only on Docsity!

Level II (HCPCS / National) Modifiers –

Study Guide