CPT Full Description - complete text of the CPT full description, in cases where the CPT term in the "STR" field of MRCON has been trimmed from its original form.
34
Notes
Attributes included every discrete piece of information about a concept, an atom, or a relationship that is not part of the basic Metathesaurus concept structure or distributed in one of the relationship files.
Attribute Names (ATN) are based on source documentation or NLMs understanding of the source.
Sample attribute values (ATV) are provided for each ATN in the source.
Sample data highlight examples of ATNs and Attribute Values (ATV) in MRSAT.RRF.
See Appendix B.2 for a complete list of attribute names.
Unusual Anesthesia: Occasionally, a procedure, which usually requires either no anesthesia or local anesthesia, because of unusual circumstances must be done under general anesthesia. This circumstance may be reported by adding modifier 23 to the procedure code of the basic service.
Unusual Anesthesia
C0520245
A2060484
L0654253
S2212001
SCUI
24
CPF
Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period: The physician may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. This circumstance may be reported by adding modifier 24 to the appropriate level of E/M service.
Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period
C0520247
A1946646
L0793115
S2071149
SCUI
26
CPF
Professional Component: Certain procedures are a combination of a physician component and a technical component. When the physician component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
Professional Component
C0520249
A1945902
L0699697
S2070244
SCUI
47
CPF
Anesthesia by Surgeon: Regional or general anesthesia provided by the surgeon may be reported by adding modifier 47 to the basic service. (This does not include local anesthesia.) Note: Modifier 47 would not be used as a modifier for the anesthesia procedures.
Anesthesia by Surgeon
C0520254
A1946783
L0771987
S2071324
SCUI
54
CPF
Surgical Care Only: When one physician performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number.
Surgical Care Only
C0520255
A1946643
L0868952
S2071146
SCUI
55
CPF
Postoperative Management Only: When one physician performed the postoperative management and another physician performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number.
Postoperative Management Only
C0520256
A1946644
L0868953
S2071147
SCUI
56
CPF
Preoperative Management Only: When one physician performed the preoperative care and evaluation and another physician performed the surgical procedure, the preoperative component may be identified by adding modifier 56 to the usual procedure number.
Preoperative Management Only
C0520257
A1946148
L0806223
S2070565
SCUI
57
CPF
Decision for Surgery: An evaluation and management service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service.
Decision for Surgery
C0520260
A1946809
L0886139
S2071354
SCUI
62
CPF
Two Surgeons: When two surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the co-surgery once using the same procedure code. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. Note: If a co-surgeon acts as an assistant in the performance of additional procedure(s) during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.
Two Surgeons
Last reviewed: 10 April 2009 Last updated: 10 April 2009 First published: 10 April 2009 Metadata| Permanence level: Permanence Not Guaranteed
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