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2013 Modifier Updates


New Modifiers Used to Report the Severity of Functional Limitations

Impairment Limitation Restriction

CH 0 percent impaired, limited or restricted

CI At least 1 percent but less than 20 percent impaired, limited or restricted

CJ At least 20 percent but less than 40 percent impaired, limited or restricted

CK At least 40 percent but less than 60 percent impaired, limited or restricted

CL At least 60 percent but less than 80 percent impaired, limited or restricted

CM At least 80 percent but less than 100 percent impaired, limited or restricted

CN 100 percent impaired, limited or restricted

Reference: http://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/FunctionalReportingNPC.pdf

Additional NCCI Modifiers

LM Left main coronary artery

RI Ramus intermedius

Reference: http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1136OTN.pdf

Deleted Modifiers

V8 Dialysis related infection present during the billing month

V9 No dialysis related infection present during the billing month

Also see 2013 CPT Code Changes and List of all Modifiers


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