• Modifier – 24 can be submitted with evaluation and management services. It is used to report an unre lated evaluation and management service by the same physician during a postoperative period.
• Modifier – 25 can be submitted with evaluation and management services for office, ambulatory, or outpatient department services. It is used to report a significant, separately identifiable evaluation and management service by the same physician on the same day of a service.
• Modifier -26 designates the professional component of a procedure. The acceptance of modifier -26 with a procedure is based on HCFA RBRVS. When processing modifier -26, the professional RVU is allowed.
• Modifier -50 designates the performance of a bilateral procedure. The acceptance of modifier -50 with a procedure is based on clinical consultant review.
• Modifier -51 designates the performance of multiple procedures, other than evaluation and management services, indicating an additional service or procedure has been performed.
• Modifier -54 designates Surgical care only, for use when one physician performs a surgical procedure and another provides preoperative and/or postoperative management.
• Modifier -55 designates Postoperative management only, for use when one physician performed the postoperative management and another physician performed the surgical procedure.
• Modifier -56 designates Preoperative management only, for use when one physician performed the preoperative care and evaluation and another physician performed the surgical procedure.
• Modifier 57 – is an evaluation and management service that results in the initial decision to perform surgery.
• Modifier -59 designates a distinct procedural service, other than evaluation and management services.
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