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This variable is contained in the following files:
SAS Name
LINE_PRCDR_MDFR_CD_4
These are fields to capture a modifier code associated with the LINE_PRCDR_CD field on the OT claim line. The first modifier is reported in LINE_PRCDR_MDFR_CD_1. If more than one modifier is reported, the additional codes are in fields LINE_PRCDR_MDFR_CD_2 through LINE_PRCDR_MDFR_CD_4.
| Code | Code value |
|---|---|
| Null/missing | Source value is missing or unknown |
Additional valid values can be supplied by the state.
Values and websites referenced may change over time.
There is no single comprehensive list for procedure modifier codes, since each payer publishes only the codes that are applicable to that payer’s billing policy. Payers normally split the codes based on the group that holds the rights to them. Therefore, the user should refer to the links to CMS HCPCS modifier codes, AMA CPT modifier codes and ambulance modifier codes that are provided in the “VALUES” section above for a more comprehensive summary of the codes.
More information on procedure code modifiers can be found here: https://www.novitassolutions.com/webcenter/portal/MedicareJH/pagebyid?c…
Source: T-MSIS Analytic File (TAF) Claims