LINUXFORHEALTH.FHIR.IG\Procedure Modifier Codes - TTL Representation

LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
: Procedure Modifier Codes - TTL Representation

Active as of 2022-11-10

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "procedure-modifier"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/procedure-modifier</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">1P<a name=\"procedure-modifier-1P\"> </a></td><td>PM excl-med reasons</td><td>Performance measure exclusion-medical reasons</td></tr><tr><td style=\"white-space:nowrap\">2P<a name=\"procedure-modifier-2P\"> </a></td><td>PM excl-pt reasons</td><td>Performance measure exclusion-patient reasons</td></tr><tr><td style=\"white-space:nowrap\">3P<a name=\"procedure-modifier-3P\"> </a></td><td>PM excl-system reason</td><td>Performance measure exclusion-system reasons</td></tr><tr><td style=\"white-space:nowrap\">A1<a name=\"procedure-modifier-A1\"> </a></td><td>Dressing for one wound</td><td/></tr><tr><td style=\"white-space:nowrap\">A2<a name=\"procedure-modifier-A2\"> </a></td><td>Dressing for two wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A3<a name=\"procedure-modifier-A3\"> </a></td><td>Dressing for three wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A4<a name=\"procedure-modifier-A4\"> </a></td><td>Dressing for four wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A5<a name=\"procedure-modifier-A5\"> </a></td><td>Dressing for five wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A6<a name=\"procedure-modifier-A6\"> </a></td><td>Dressing for six wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A7<a name=\"procedure-modifier-A7\"> </a></td><td>Dressing for seven wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A8<a name=\"procedure-modifier-A8\"> </a></td><td>Dressing for eight wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">A9<a name=\"procedure-modifier-A9\"> </a></td><td>Dressing for nine or more wounds</td><td/></tr><tr><td style=\"white-space:nowrap\">AA<a name=\"procedure-modifier-AA\"> </a></td><td>Anesthesia services performed personally by anesthesiologist</td><td/></tr><tr><td style=\"white-space:nowrap\">AD<a name=\"procedure-modifier-AD\"> </a></td><td>Medical supervision by a physician: more than four concurrent anesthesia procedures</td><td/></tr><tr><td style=\"white-space:nowrap\">AE<a name=\"procedure-modifier-AE\"> </a></td><td>Registered dietician</td><td/></tr><tr><td style=\"white-space:nowrap\">AF<a name=\"procedure-modifier-AF\"> </a></td><td>Specialty physician</td><td/></tr><tr><td style=\"white-space:nowrap\">AG<a name=\"procedure-modifier-AG\"> </a></td><td>Primary physician</td><td/></tr><tr><td style=\"white-space:nowrap\">AH<a name=\"procedure-modifier-AH\"> </a></td><td>Clinical psychologist</td><td/></tr><tr><td style=\"white-space:nowrap\">AI<a name=\"procedure-modifier-AI\"> </a></td><td>Principal physician of record</td><td/></tr><tr><td style=\"white-space:nowrap\">AJ<a name=\"procedure-modifier-AJ\"> </a></td><td>Clinical social worker</td><td/></tr><tr><td style=\"white-space:nowrap\">AK<a name=\"procedure-modifier-AK\"> </a></td><td>Non participating physician</td><td/></tr><tr><td style=\"white-space:nowrap\">AM<a name=\"procedure-modifier-AM\"> </a></td><td>Physician, team member service</td><td/></tr><tr><td style=\"white-space:nowrap\">AO<a name=\"procedure-modifier-AO\"> </a></td><td>Alternate payment method declined by provider of service</td><td/></tr><tr><td style=\"white-space:nowrap\">AP<a name=\"procedure-modifier-AP\"> </a></td><td>Determination of refractive state was not performed in the course of diagnostic ophthalmological examination</td><td/></tr><tr><td style=\"white-space:nowrap\">AQ<a name=\"procedure-modifier-AQ\"> </a></td><td>Physician providing a service in an unlisted health professional shortage area (hpsa)</td><td/></tr><tr><td style=\"white-space:nowrap\">AR<a name=\"procedure-modifier-AR\"> </a></td><td>Physician provider services in a physician scarcity area</td><td/></tr><tr><td style=\"white-space:nowrap\">AS<a name=\"procedure-modifier-AS\"> </a></td><td>Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery</td><td/></tr><tr><td style=\"white-space:nowrap\">AT<a name=\"procedure-modifier-AT\"> </a></td><td>Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)</td><td/></tr><tr><td style=\"white-space:nowrap\">AU<a name=\"procedure-modifier-AU\"> </a></td><td>Item furnished in conjunction with a urological, ostomy, or tracheostomy supply</td><td/></tr><tr><td style=\"white-space:nowrap\">AV<a name=\"procedure-modifier-AV\"> </a></td><td>Item furnished in conjunction with a prosthetic device, prosthetic or orthotic</td><td/></tr><tr><td style=\"white-space:nowrap\">AW<a name=\"procedure-modifier-AW\"> </a></td><td>Item furnished in conjunction with a surgical dressing</td><td/></tr><tr><td style=\"white-space:nowrap\">AX<a name=\"procedure-modifier-AX\"> </a></td><td>Item furnished in conjunction with dialysis services</td><td/></tr><tr><td style=\"white-space:nowrap\">AY<a name=\"procedure-modifier-AY\"> </a></td><td>Item or service furnished to an esrd patient that is not for the treatment of esrd</td><td/></tr><tr><td style=\"white-space:nowrap\">AZ<a name=\"procedure-modifier-AZ\"> </a></td><td>Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment</td><td/></tr><tr><td style=\"white-space:nowrap\">BA<a name=\"procedure-modifier-BA\"> </a></td><td>Item furnished in conjunction with parenteral enteral nutrition (pen) services</td><td/></tr><tr><td style=\"white-space:nowrap\">BL<a name=\"procedure-modifier-BL\"> </a></td><td>Special acquisition of blood and blood products</td><td/></tr><tr><td style=\"white-space:nowrap\">BO<a name=\"procedure-modifier-BO\"> </a></td><td>Orally administered nutrition, not by feeding tube</td><td/></tr><tr><td style=\"white-space:nowrap\">BP<a name=\"procedure-modifier-BP\"> </a></td><td>The beneficiary has been informed of the purchase and rental options and has elected to purchase the item</td><td/></tr><tr><td style=\"white-space:nowrap\">BR<a name=\"procedure-modifier-BR\"> </a></td><td>The beneficiary has been informed of the purchase and rental options and has elected to rent the item</td><td/></tr><tr><td style=\"white-space:nowrap\">BU<a name=\"procedure-modifier-BU\"> </a></td><td>The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision</td><td/></tr><tr><td style=\"white-space:nowrap\">CA<a name=\"procedure-modifier-CA\"> </a></td><td>Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission</td><td/></tr><tr><td style=\"white-space:nowrap\">CB<a name=\"procedure-modifier-CB\"> </a></td><td>Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable</td><td/></tr><tr><td style=\"white-space:nowrap\">CC<a name=\"procedure-modifier-CC\"> </a></td><td>Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)</td><td/></tr><tr><td style=\"white-space:nowrap\">CD<a name=\"procedure-modifier-CD\"> </a></td><td>Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable</td><td/></tr><tr><td style=\"white-space:nowrap\">CE<a name=\"procedure-modifier-CE\"> </a></td><td>Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal * frequency covered under the rate and is separately reimbursable based on medical necessity</td><td/></tr><tr><td style=\"white-space:nowrap\">CF<a name=\"procedure-modifier-CF\"> </a></td><td>Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable</td><td/></tr><tr><td style=\"white-space:nowrap\">CG<a name=\"procedure-modifier-CG\"> </a></td><td>Policy criteria applied</td><td/></tr><tr><td style=\"white-space:nowrap\">CH<a name=\"procedure-modifier-CH\"> </a></td><td>0 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CI<a name=\"procedure-modifier-CI\"> </a></td><td>At least 1 percent but less than 20 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CJ<a name=\"procedure-modifier-CJ\"> </a></td><td>At least 20 percent but less than 40 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CK<a name=\"procedure-modifier-CK\"> </a></td><td>At least 40 percent but less than 60 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CL<a name=\"procedure-modifier-CL\"> </a></td><td>At least 60 percent but less than 80 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CM<a name=\"procedure-modifier-CM\"> </a></td><td>At least 80 percent but less than 100 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CN<a name=\"procedure-modifier-CN\"> </a></td><td>100 percent impaired, limited or restricted</td><td/></tr><tr><td style=\"white-space:nowrap\">CO<a name=\"procedure-modifier-CO\"> </a></td><td>Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant</td><td/></tr><tr><td style=\"white-space:nowrap\">CP<a name=\"procedure-modifier-CP\"> </a></td><td>Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim</td><td/></tr><tr><td style=\"white-space:nowrap\">CQ<a name=\"procedure-modifier-CQ\"> </a></td><td>Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant</td><td/></tr><tr><td style=\"white-space:nowrap\">CR<a name=\"procedure-modifier-CR\"> </a></td><td>Catastrophe/disaster related</td><td/></tr><tr><td style=\"white-space:nowrap\">CS<a name=\"procedure-modifier-CS\"> </a></td><td>Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the gulf of mexico, including but not limited to subsequent clean-up activities</td><td/></tr><tr><td style=\"white-space:nowrap\">CT<a name=\"procedure-modifier-CT\"> </a></td><td>Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard</td><td/></tr><tr><td style=\"white-space:nowrap\">DA<a name=\"procedure-modifier-DA\"> </a></td><td>Oral health assessment by a licensed health professional other than a dentist</td><td/></tr><tr><td style=\"white-space:nowrap\">DD<a name=\"procedure-modifier-DD\"> </a></td><td>AMB-site NEC to site NEC</td><td>Ambulance service from diagnostic or therapeutic site other than P or H  to diagnostic or therapeutic site other than P or H</td></tr><tr><td style=\"white-space:nowrap\">DE<a name=\"procedure-modifier-DE\"> </a></td><td>AMB-site NEC to RES fac</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to residential</td></tr><tr><td style=\"white-space:nowrap\">DG<a name=\"procedure-modifier-DG\"> </a></td><td>AMB-site NEC-hosp ESRD</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to hospital-based ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">DH<a name=\"procedure-modifier-DH\"> </a></td><td>AMB-site NEC to hosp</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to hospital</td></tr><tr><td style=\"white-space:nowrap\">DI<a name=\"procedure-modifier-DI\"> </a></td><td>AMB-site NEC-transf site</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to site of transfer</td></tr><tr><td style=\"white-space:nowrap\">DJ<a name=\"procedure-modifier-DJ\"> </a></td><td>AMB-NEC-Free stand ESRD</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to free standing ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">DN<a name=\"procedure-modifier-DN\"> </a></td><td>AMB-site NEC to SNF</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to skilled nursing facility (SNF)</td></tr><tr><td style=\"white-space:nowrap\">DP<a name=\"procedure-modifier-DP\"> </a></td><td>AMB-site NEC to OV</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to physician's office</td></tr><tr><td style=\"white-space:nowrap\">DR<a name=\"procedure-modifier-DR\"> </a></td><td>AMB-site NEC to home</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to residence</td></tr><tr><td style=\"white-space:nowrap\">DS<a name=\"procedure-modifier-DS\"> </a></td><td>AMB-site NEC to accident</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to scene of accident or acute event</td></tr><tr><td style=\"white-space:nowrap\">DX<a name=\"procedure-modifier-DX\"> </a></td><td>AMB-site NEC to hosp+OV</td><td>Ambulance service from diagnostic or therapeutic site other than P or H to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">E1<a name=\"procedure-modifier-E1\"> </a></td><td>Upper left, eyelid</td><td/></tr><tr><td style=\"white-space:nowrap\">E2<a name=\"procedure-modifier-E2\"> </a></td><td>Lower left, eyelid</td><td/></tr><tr><td style=\"white-space:nowrap\">E3<a name=\"procedure-modifier-E3\"> </a></td><td>Upper right, eyelid</td><td/></tr><tr><td style=\"white-space:nowrap\">E4<a name=\"procedure-modifier-E4\"> </a></td><td>Lower right, eyelid</td><td/></tr><tr><td style=\"white-space:nowrap\">EA<a name=\"procedure-modifier-EA\"> </a></td><td>Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy</td><td/></tr><tr><td style=\"white-space:nowrap\">EB<a name=\"procedure-modifier-EB\"> </a></td><td>Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy</td><td/></tr><tr><td style=\"white-space:nowrap\">EC<a name=\"procedure-modifier-EC\"> </a></td><td>Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy</td><td/></tr><tr><td style=\"white-space:nowrap\">ED<a name=\"procedure-modifier-ED\"> </a></td><td>Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle</td><td/></tr><tr><td style=\"white-space:nowrap\">EE<a name=\"procedure-modifier-EE\"> </a></td><td>Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle</td><td/></tr><tr><td style=\"white-space:nowrap\">EG<a name=\"procedure-modifier-EG\"> </a></td><td>AMB-RES fac-hosp ESRD</td><td>Ambulance from RES facility to hosp-based ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">EH<a name=\"procedure-modifier-EH\"> </a></td><td>AMB-RES facility to hosp</td><td>Ambulance from residential facility to hospital</td></tr><tr><td style=\"white-space:nowrap\">EI<a name=\"procedure-modifier-EI\"> </a></td><td>AMB-RES fac-transf site</td><td>Ambulance from residential fac to AMB mode transf site</td></tr><tr><td style=\"white-space:nowrap\">EJ<a name=\"procedure-modifier-EJ\"> </a></td><td>Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab</td><td/></tr><tr><td style=\"white-space:nowrap\">EM<a name=\"procedure-modifier-EM\"> </a></td><td>Emergency reserve supply (for esrd benefit only)</td><td/></tr><tr><td style=\"white-space:nowrap\">EN<a name=\"procedure-modifier-EN\"> </a></td><td>AMB-RES facility to SNF</td><td>Ambulance service from residential</td></tr><tr><td style=\"white-space:nowrap\">EP<a name=\"procedure-modifier-EP\"> </a></td><td>Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program</td><td/></tr><tr><td style=\"white-space:nowrap\">ER<a name=\"procedure-modifier-ER\"> </a></td><td>Items and services furnished by a provider-based, off-campus emergency department</td><td/></tr><tr><td style=\"white-space:nowrap\">ES<a name=\"procedure-modifier-ES\"> </a></td><td>AMB-RES fac to accident</td><td>Ambulance from residential facility to accident scene</td></tr><tr><td style=\"white-space:nowrap\">ET<a name=\"procedure-modifier-ET\"> </a></td><td>Emergency services</td><td/></tr><tr><td style=\"white-space:nowrap\">EX<a name=\"procedure-modifier-EX\"> </a></td><td>Expatriate beneficiary</td><td/></tr><tr><td style=\"white-space:nowrap\">EY<a name=\"procedure-modifier-EY\"> </a></td><td>No physician or other licensed health care provider order for this item or service</td><td/></tr><tr><td style=\"white-space:nowrap\">F1<a name=\"procedure-modifier-F1\"> </a></td><td>Left hand, second digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F2<a name=\"procedure-modifier-F2\"> </a></td><td>Left hand, third digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F3<a name=\"procedure-modifier-F3\"> </a></td><td>Left hand, fourth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F4<a name=\"procedure-modifier-F4\"> </a></td><td>Left hand, fifth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F5<a name=\"procedure-modifier-F5\"> </a></td><td>Right hand, thumb</td><td/></tr><tr><td style=\"white-space:nowrap\">F6<a name=\"procedure-modifier-F6\"> </a></td><td>Right hand, second digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F7<a name=\"procedure-modifier-F7\"> </a></td><td>Right hand, third digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F8<a name=\"procedure-modifier-F8\"> </a></td><td>Right hand, fourth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">F9<a name=\"procedure-modifier-F9\"> </a></td><td>Right hand, fifth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">FA<a name=\"procedure-modifier-FA\"> </a></td><td>Left hand, thumb</td><td/></tr><tr><td style=\"white-space:nowrap\">FB<a name=\"procedure-modifier-FB\"> </a></td><td>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)</td><td/></tr><tr><td style=\"white-space:nowrap\">FC<a name=\"procedure-modifier-FC\"> </a></td><td>Partial credit received for replaced device</td><td/></tr><tr><td style=\"white-space:nowrap\">FP<a name=\"procedure-modifier-FP\"> </a></td><td>Service provided as part of family planning program</td><td/></tr><tr><td style=\"white-space:nowrap\">FX<a name=\"procedure-modifier-FX\"> </a></td><td>X-ray taken using film</td><td/></tr><tr><td style=\"white-space:nowrap\">FY<a name=\"procedure-modifier-FY\"> </a></td><td>X-ray taken using computed radiography technology/cassette-based imaging</td><td/></tr><tr><td style=\"white-space:nowrap\">G0<a name=\"procedure-modifier-G0\"> </a></td><td>Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke</td><td/></tr><tr><td style=\"white-space:nowrap\">G1<a name=\"procedure-modifier-G1\"> </a></td><td>Most recent urr reading of less than 60</td><td/></tr><tr><td style=\"white-space:nowrap\">G2<a name=\"procedure-modifier-G2\"> </a></td><td>Most recent urr reading of 60 to 64.9</td><td/></tr><tr><td style=\"white-space:nowrap\">G3<a name=\"procedure-modifier-G3\"> </a></td><td>Most recent urr reading of 65 to 69.9</td><td/></tr><tr><td style=\"white-space:nowrap\">G4<a name=\"procedure-modifier-G4\"> </a></td><td>Most recent urr reading of 70 to 74.9</td><td/></tr><tr><td style=\"white-space:nowrap\">G5<a name=\"procedure-modifier-G5\"> </a></td><td>Most recent urr reading of 75 or greater</td><td/></tr><tr><td style=\"white-space:nowrap\">G6<a name=\"procedure-modifier-G6\"> </a></td><td>Esrd patient for whom less than six dialysis sessions have been provided in a month</td><td/></tr><tr><td style=\"white-space:nowrap\">G7<a name=\"procedure-modifier-G7\"> </a></td><td>Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening</td><td/></tr><tr><td style=\"white-space:nowrap\">G8<a name=\"procedure-modifier-G8\"> </a></td><td>Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure</td><td/></tr><tr><td style=\"white-space:nowrap\">G9<a name=\"procedure-modifier-G9\"> </a></td><td>Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition</td><td/></tr><tr><td style=\"white-space:nowrap\">GA<a name=\"procedure-modifier-GA\"> </a></td><td>Waiver of liability statement issued as required by payer policy, individual case</td><td/></tr><tr><td style=\"white-space:nowrap\">GB<a name=\"procedure-modifier-GB\"> </a></td><td>Claim being re-submitted for payment because it is no longer covered under a global payment demonstration</td><td/></tr><tr><td style=\"white-space:nowrap\">GC<a name=\"procedure-modifier-GC\"> </a></td><td>This service has been performed in part by a resident under the direction of a teaching physician</td><td/></tr><tr><td style=\"white-space:nowrap\">GD<a name=\"procedure-modifier-GD\"> </a></td><td>Units of service exceeds medically unlikely edit value and represents reasonable and necessary services</td><td/></tr><tr><td style=\"white-space:nowrap\">GE<a name=\"procedure-modifier-GE\"> </a></td><td>This service has been performed by a resident without the presence of a teaching physician under the primary care exception</td><td/></tr><tr><td style=\"white-space:nowrap\">GF<a name=\"procedure-modifier-GF\"> </a></td><td>Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital</td><td/></tr><tr><td style=\"white-space:nowrap\">GG<a name=\"procedure-modifier-GG\"> </a></td><td>Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day</td><td/></tr><tr><td style=\"white-space:nowrap\">GH<a name=\"procedure-modifier-GH\"> </a></td><td>Diagnostic mammogram converted from screening mammogram on same day</td><td/></tr><tr><td style=\"white-space:nowrap\">GI<a name=\"procedure-modifier-GI\"> </a></td><td>AMB-hosp ESRD-transfer</td><td>Ambulance from hosp-based ESRD facility to ambulance mode transfer</td></tr><tr><td style=\"white-space:nowrap\">GJ<a name=\"procedure-modifier-GJ\"> </a></td><td>Opt out emerg svc</td><td>Opt out physician or practitioner emergency or urgent service</td></tr><tr><td style=\"white-space:nowrap\">GK<a name=\"procedure-modifier-GK\"> </a></td><td>Reasonable and necessary item/service associated with a ga or gz modifier</td><td/></tr><tr><td style=\"white-space:nowrap\">GL<a name=\"procedure-modifier-GL\"> </a></td><td>Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)</td><td/></tr><tr><td style=\"white-space:nowrap\">GM<a name=\"procedure-modifier-GM\"> </a></td><td>Multiple patients on one ambulance trip</td><td/></tr><tr><td style=\"white-space:nowrap\">GN<a name=\"procedure-modifier-GN\"> </a></td><td>Services delivered under an outpatient speech language pathology plan of care</td><td/></tr><tr><td style=\"white-space:nowrap\">GO<a name=\"procedure-modifier-GO\"> </a></td><td>Services delivered under an outpatient occupational therapy plan of care</td><td/></tr><tr><td style=\"white-space:nowrap\">GP<a name=\"procedure-modifier-GP\"> </a></td><td>Services delivered under an outpatient physical therapy plan of care</td><td/></tr><tr><td style=\"white-space:nowrap\">GQ<a name=\"procedure-modifier-GQ\"> </a></td><td>Via asynchronous telecommunications system</td><td/></tr><tr><td style=\"white-space:nowrap\">GR<a name=\"procedure-modifier-GR\"> </a></td><td>This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy</td><td/></tr><tr><td style=\"white-space:nowrap\">GS<a name=\"procedure-modifier-GS\"> </a></td><td>Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level</td><td/></tr><tr><td style=\"white-space:nowrap\">GT<a name=\"procedure-modifier-GT\"> </a></td><td>Via interactive audio and video telecommunication systems</td><td/></tr><tr><td style=\"white-space:nowrap\">GU<a name=\"procedure-modifier-GU\"> </a></td><td>Waiver of liability statement issued as required by payer policy, routine notice</td><td/></tr><tr><td style=\"white-space:nowrap\">GV<a name=\"procedure-modifier-GV\"> </a></td><td>Attending physician not employed or paid under arrangement by the patient's hospice provider</td><td/></tr><tr><td style=\"white-space:nowrap\">GW<a name=\"procedure-modifier-GW\"> </a></td><td>Service not related to the hospice patient's terminal condition</td><td/></tr><tr><td style=\"white-space:nowrap\">GX<a name=\"procedure-modifier-GX\"> </a></td><td>Notice of liability issued, voluntary under payer policy</td><td/></tr><tr><td style=\"white-space:nowrap\">GY<a name=\"procedure-modifier-GY\"> </a></td><td>Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit</td><td/></tr><tr><td style=\"white-space:nowrap\">GZ<a name=\"procedure-modifier-GZ\"> </a></td><td>Item or service expected to be denied as not reasonable and necessary</td><td/></tr><tr><td style=\"white-space:nowrap\">H9<a name=\"procedure-modifier-H9\"> </a></td><td>Court-ordered</td><td/></tr><tr><td style=\"white-space:nowrap\">HA<a name=\"procedure-modifier-HA\"> </a></td><td>Child/adolescent program</td><td/></tr><tr><td style=\"white-space:nowrap\">HB<a name=\"procedure-modifier-HB\"> </a></td><td>Adult program, non geriatric</td><td/></tr><tr><td style=\"white-space:nowrap\">HC<a name=\"procedure-modifier-HC\"> </a></td><td>Adult program, geriatric</td><td/></tr><tr><td style=\"white-space:nowrap\">HD<a name=\"procedure-modifier-HD\"> </a></td><td>Pregnant/parenting women's program</td><td/></tr><tr><td style=\"white-space:nowrap\">HE<a name=\"procedure-modifier-HE\"> </a></td><td>Mental health program</td><td/></tr><tr><td style=\"white-space:nowrap\">HF<a name=\"procedure-modifier-HF\"> </a></td><td>Substance abuse program</td><td/></tr><tr><td style=\"white-space:nowrap\">HG<a name=\"procedure-modifier-HG\"> </a></td><td>Opioid addiction treatment program</td><td/></tr><tr><td style=\"white-space:nowrap\">HH<a name=\"procedure-modifier-HH\"> </a></td><td>Integrated mental health/substance abuse program</td><td/></tr><tr><td style=\"white-space:nowrap\">HI<a name=\"procedure-modifier-HI\"> </a></td><td>Integrated mental health and intellectual disability/developmental disabilities program</td><td/></tr><tr><td style=\"white-space:nowrap\">HJ<a name=\"procedure-modifier-HJ\"> </a></td><td>Employee assistance program</td><td/></tr><tr><td style=\"white-space:nowrap\">HK<a name=\"procedure-modifier-HK\"> </a></td><td>Specialized mental health programs for high-risk populations</td><td/></tr><tr><td style=\"white-space:nowrap\">HL<a name=\"procedure-modifier-HL\"> </a></td><td>Intern</td><td/></tr><tr><td style=\"white-space:nowrap\">HM<a name=\"procedure-modifier-HM\"> </a></td><td>Less than bachelor degree level</td><td/></tr><tr><td style=\"white-space:nowrap\">HN<a name=\"procedure-modifier-HN\"> </a></td><td>Bachelors degree level</td><td/></tr><tr><td style=\"white-space:nowrap\">HO<a name=\"procedure-modifier-HO\"> </a></td><td>Masters degree level</td><td/></tr><tr><td style=\"white-space:nowrap\">HP<a name=\"procedure-modifier-HP\"> </a></td><td>Doctoral level</td><td/></tr><tr><td style=\"white-space:nowrap\">HQ<a name=\"procedure-modifier-HQ\"> </a></td><td>Group setting</td><td/></tr><tr><td style=\"white-space:nowrap\">HR<a name=\"procedure-modifier-HR\"> </a></td><td>Family/couple with client present</td><td/></tr><tr><td style=\"white-space:nowrap\">HS<a name=\"procedure-modifier-HS\"> </a></td><td>Family/couple without client present</td><td/></tr><tr><td style=\"white-space:nowrap\">HT<a name=\"procedure-modifier-HT\"> </a></td><td>Multi-disciplinary team</td><td/></tr><tr><td style=\"white-space:nowrap\">HU<a name=\"procedure-modifier-HU\"> </a></td><td>Funded by child welfare agency</td><td/></tr><tr><td style=\"white-space:nowrap\">HV<a name=\"procedure-modifier-HV\"> </a></td><td>Funded state addictions agency</td><td/></tr><tr><td style=\"white-space:nowrap\">HW<a name=\"procedure-modifier-HW\"> </a></td><td>Funded by state mental health agency</td><td/></tr><tr><td style=\"white-space:nowrap\">HX<a name=\"procedure-modifier-HX\"> </a></td><td>Funded by county/local agency</td><td/></tr><tr><td style=\"white-space:nowrap\">HY<a name=\"procedure-modifier-HY\"> </a></td><td>Funded by juvenile justice agency</td><td/></tr><tr><td style=\"white-space:nowrap\">HZ<a name=\"procedure-modifier-HZ\"> </a></td><td>Funded by criminal justice agency</td><td/></tr><tr><td style=\"white-space:nowrap\">ID<a name=\"procedure-modifier-ID\"> </a></td><td>AMB-transf site to NEC</td><td>Ambulance service from AMB mode transfer site to diagnostic or therapeutic site NEC</td></tr><tr><td style=\"white-space:nowrap\">IE<a name=\"procedure-modifier-IE\"> </a></td><td>AMB-transf site to RES</td><td>Ambulance service from AMB mode transfer site to RES facility</td></tr><tr><td style=\"white-space:nowrap\">IG<a name=\"procedure-modifier-IG\"> </a></td><td>AMB-transf site-ESRD</td><td>Ambulance service from AMB mode transf site to hosp ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">IH<a name=\"procedure-modifier-IH\"> </a></td><td>AMB-transf site to hosp</td><td>Ambulance service from AMB mode transfer site to hospital</td></tr><tr><td style=\"white-space:nowrap\">II<a name=\"procedure-modifier-II\"> </a></td><td>AMB-transf site-transf</td><td>Ambulance service from AMB mode transf site to AMB mode transfer</td></tr><tr><td style=\"white-space:nowrap\">IJ<a name=\"procedure-modifier-IJ\"> </a></td><td>AMB-transf site-FS ESRD</td><td>Ambulance service from AMB mode transf site to free stand ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">IN<a name=\"procedure-modifier-IN\"> </a></td><td>AMB-transf site to SNF</td><td>Ambulance service from AMB mode transfer site to SNF</td></tr><tr><td style=\"white-space:nowrap\">IP<a name=\"procedure-modifier-IP\"> </a></td><td>AMB-transf site to OV</td><td>Ambulance service from AMB mode transfer site to phys office</td></tr><tr><td style=\"white-space:nowrap\">IR<a name=\"procedure-modifier-IR\"> </a></td><td>AMB-transf site to home</td><td>Ambulance service from AMB mode transfer site to residence</td></tr><tr><td style=\"white-space:nowrap\">IS<a name=\"procedure-modifier-IS\"> </a></td><td>AMB-transf site to accid</td><td>Ambulance service from transfer site to accident scene</td></tr><tr><td style=\"white-space:nowrap\">IX<a name=\"procedure-modifier-IX\"> </a></td><td>AMB-transf site-OV/hosp</td><td>Ambulance service from AMB mode transf site to OV/hospital</td></tr><tr><td style=\"white-space:nowrap\">J1<a name=\"procedure-modifier-J1\"> </a></td><td>Competitive acquisition program no-pay submission for a prescription number</td><td/></tr><tr><td style=\"white-space:nowrap\">J2<a name=\"procedure-modifier-J2\"> </a></td><td>Competitive acquisition program, restocking of emergency drugs after emergency administration</td><td/></tr><tr><td style=\"white-space:nowrap\">J3<a name=\"procedure-modifier-J3\"> </a></td><td>Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology</td><td/></tr><tr><td style=\"white-space:nowrap\">J4<a name=\"procedure-modifier-J4\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge</td><td/></tr><tr><td style=\"white-space:nowrap\">JA<a name=\"procedure-modifier-JA\"> </a></td><td>Administered intravenously</td><td/></tr><tr><td style=\"white-space:nowrap\">JB<a name=\"procedure-modifier-JB\"> </a></td><td>Administered subcutaneously</td><td/></tr><tr><td style=\"white-space:nowrap\">JC<a name=\"procedure-modifier-JC\"> </a></td><td>Skin substitute used as a graft</td><td/></tr><tr><td style=\"white-space:nowrap\">JD<a name=\"procedure-modifier-JD\"> </a></td><td>Skin substitute not used as a graft</td><td/></tr><tr><td style=\"white-space:nowrap\">JE<a name=\"procedure-modifier-JE\"> </a></td><td>Administered via dialysate</td><td/></tr><tr><td style=\"white-space:nowrap\">JF<a name=\"procedure-modifier-JF\"> </a></td><td>Compounded drug</td><td/></tr><tr><td style=\"white-space:nowrap\">JG<a name=\"procedure-modifier-JG\"> </a></td><td>Drug or biological acquired with 340b drug pricing program discount</td><td/></tr><tr><td style=\"white-space:nowrap\">JH<a name=\"procedure-modifier-JH\"> </a></td><td>AMB-free stand ESRD-hosp</td><td>Ambulance service from free standing ESRD facility to hospital</td></tr><tr><td style=\"white-space:nowrap\">JI<a name=\"procedure-modifier-JI\"> </a></td><td>AMB-FS ESRD-transf site</td><td>Ambulance service from free standing ESRD fac to AMB transf site</td></tr><tr><td style=\"white-space:nowrap\">JJ<a name=\"procedure-modifier-JJ\"> </a></td><td>AMB-free stand ESRD-same</td><td>Ambulance service from free standing ESRD facility to free standing ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">JN<a name=\"procedure-modifier-JN\"> </a></td><td>AMB-free stand ESRD-SNF</td><td>Ambulance service from free standing ESRD facility to skilled nursing facility (SNF)</td></tr><tr><td style=\"white-space:nowrap\">JP<a name=\"procedure-modifier-JP\"> </a></td><td>AMB-free stand ESRD-OV</td><td>Ambulance service from free standing ESRD facility to physician's office</td></tr><tr><td style=\"white-space:nowrap\">JR<a name=\"procedure-modifier-JR\"> </a></td><td>AMB-free stand ESRD-home</td><td>Ambulance service from free standing ESRD facility to residence</td></tr><tr><td style=\"white-space:nowrap\">JS<a name=\"procedure-modifier-JS\"> </a></td><td>AMB-FS ESRD to accident</td><td>Ambulance service from free standing ESRD facility to scene of accident or acute event</td></tr><tr><td style=\"white-space:nowrap\">JW<a name=\"procedure-modifier-JW\"> </a></td><td>Drug amount discarded/not administered to any patient</td><td/></tr><tr><td style=\"white-space:nowrap\">JX<a name=\"procedure-modifier-JX\"> </a></td><td>AMB-FS ESRD-hosp w OV</td><td>Ambulance service from free standing ESRD facility to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">K0<a name=\"procedure-modifier-K0\"> </a></td><td>Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.</td><td/></tr><tr><td style=\"white-space:nowrap\">K1<a name=\"procedure-modifier-K1\"> </a></td><td>Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.</td><td/></tr><tr><td style=\"white-space:nowrap\">K2<a name=\"procedure-modifier-K2\"> </a></td><td>Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces.  typical of the limited community ambulator.</td><td/></tr><tr><td style=\"white-space:nowrap\">K3<a name=\"procedure-modifier-K3\"> </a></td><td>Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence.  typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.</td><td/></tr><tr><td style=\"white-space:nowrap\">K4<a name=\"procedure-modifier-K4\"> </a></td><td>Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.</td><td/></tr><tr><td style=\"white-space:nowrap\">KA<a name=\"procedure-modifier-KA\"> </a></td><td>Add on option/accessory for wheelchair</td><td/></tr><tr><td style=\"white-space:nowrap\">KB<a name=\"procedure-modifier-KB\"> </a></td><td>Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim</td><td/></tr><tr><td style=\"white-space:nowrap\">KC<a name=\"procedure-modifier-KC\"> </a></td><td>Replacement of special power wheelchair interface</td><td/></tr><tr><td style=\"white-space:nowrap\">KD<a name=\"procedure-modifier-KD\"> </a></td><td>Drug or biological infused through dme</td><td/></tr><tr><td style=\"white-space:nowrap\">KE<a name=\"procedure-modifier-KE\"> </a></td><td>Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment</td><td/></tr><tr><td style=\"white-space:nowrap\">KF<a name=\"procedure-modifier-KF\"> </a></td><td>Item designated by fda as class iii device</td><td/></tr><tr><td style=\"white-space:nowrap\">KG<a name=\"procedure-modifier-KG\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program number 1</td><td/></tr><tr><td style=\"white-space:nowrap\">KH<a name=\"procedure-modifier-KH\"> </a></td><td>Dmepos item, initial claim, purchase or first month rental</td><td/></tr><tr><td style=\"white-space:nowrap\">KI<a name=\"procedure-modifier-KI\"> </a></td><td>Dmepos item, second or third month rental</td><td/></tr><tr><td style=\"white-space:nowrap\">KJ<a name=\"procedure-modifier-KJ\"> </a></td><td>Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen</td><td/></tr><tr><td style=\"white-space:nowrap\">KK<a name=\"procedure-modifier-KK\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program number 2</td><td/></tr><tr><td style=\"white-space:nowrap\">KL<a name=\"procedure-modifier-KL\"> </a></td><td>Dmepos item delivered via mail</td><td/></tr><tr><td style=\"white-space:nowrap\">KM<a name=\"procedure-modifier-KM\"> </a></td><td>Replacement of facial prosthesis including new impression/moulage</td><td/></tr><tr><td style=\"white-space:nowrap\">KN<a name=\"procedure-modifier-KN\"> </a></td><td>Replacement of facial prosthesis using previous master model</td><td/></tr><tr><td style=\"white-space:nowrap\">KO<a name=\"procedure-modifier-KO\"> </a></td><td>Single drug unit dose formulation</td><td/></tr><tr><td style=\"white-space:nowrap\">KP<a name=\"procedure-modifier-KP\"> </a></td><td>First drug of a multiple drug unit dose formulation</td><td/></tr><tr><td style=\"white-space:nowrap\">KQ<a name=\"procedure-modifier-KQ\"> </a></td><td>Second or subsequent drug of a multiple drug unit dose formulation</td><td/></tr><tr><td style=\"white-space:nowrap\">KR<a name=\"procedure-modifier-KR\"> </a></td><td>Rental item, billing for partial month</td><td/></tr><tr><td style=\"white-space:nowrap\">KS<a name=\"procedure-modifier-KS\"> </a></td><td>Glucose monitor supply for diabetic beneficiary not treated with insulin</td><td/></tr><tr><td style=\"white-space:nowrap\">KT<a name=\"procedure-modifier-KT\"> </a></td><td>Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item</td><td/></tr><tr><td style=\"white-space:nowrap\">KU<a name=\"procedure-modifier-KU\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program number 3</td><td/></tr><tr><td style=\"white-space:nowrap\">KV<a name=\"procedure-modifier-KV\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service</td><td/></tr><tr><td style=\"white-space:nowrap\">KW<a name=\"procedure-modifier-KW\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program number 4</td><td/></tr><tr><td style=\"white-space:nowrap\">KX<a name=\"procedure-modifier-KX\"> </a></td><td>Requirements specified in the medical policy have been met</td><td/></tr><tr><td style=\"white-space:nowrap\">KY<a name=\"procedure-modifier-KY\"> </a></td><td>Dmepos item subject to dmepos competitive bidding program number 5</td><td/></tr><tr><td style=\"white-space:nowrap\">KZ<a name=\"procedure-modifier-KZ\"> </a></td><td>New coverage not implemented by managed care</td><td/></tr><tr><td style=\"white-space:nowrap\">L1<a name=\"procedure-modifier-L1\"> </a></td><td>Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps</td><td/></tr><tr><td style=\"white-space:nowrap\">LC<a name=\"procedure-modifier-LC\"> </a></td><td>Left circumflex coronary artery</td><td/></tr><tr><td style=\"white-space:nowrap\">LD<a name=\"procedure-modifier-LD\"> </a></td><td>Left anterior descending coronary artery</td><td/></tr><tr><td style=\"white-space:nowrap\">LL<a name=\"procedure-modifier-LL\"> </a></td><td>Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)</td><td/></tr><tr><td style=\"white-space:nowrap\">LM<a name=\"procedure-modifier-LM\"> </a></td><td>Left main coronary artery</td><td/></tr><tr><td style=\"white-space:nowrap\">LR<a name=\"procedure-modifier-LR\"> </a></td><td>Laboratory round trip</td><td/></tr><tr><td style=\"white-space:nowrap\">LS<a name=\"procedure-modifier-LS\"> </a></td><td>Fda-monitored intraocular lens implant</td><td/></tr><tr><td style=\"white-space:nowrap\">LT<a name=\"procedure-modifier-LT\"> </a></td><td>Left side (used to identify procedures performed on the left side of the body)</td><td/></tr><tr><td style=\"white-space:nowrap\">M2<a name=\"procedure-modifier-M2\"> </a></td><td>Medicare secondary payer (msp)</td><td/></tr><tr><td style=\"white-space:nowrap\">MA<a name=\"procedure-modifier-MA\"> </a></td><td>Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition</td><td/></tr><tr><td style=\"white-space:nowrap\">MB<a name=\"procedure-modifier-MB\"> </a></td><td>Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access</td><td/></tr><tr><td style=\"white-space:nowrap\">MC<a name=\"procedure-modifier-MC\"> </a></td><td>Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues</td><td/></tr><tr><td style=\"white-space:nowrap\">MD<a name=\"procedure-modifier-MD\"> </a></td><td>Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances</td><td/></tr><tr><td style=\"white-space:nowrap\">ME<a name=\"procedure-modifier-ME\"> </a></td><td>The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional</td><td/></tr><tr><td style=\"white-space:nowrap\">MF<a name=\"procedure-modifier-MF\"> </a></td><td>The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional</td><td/></tr><tr><td style=\"white-space:nowrap\">MG<a name=\"procedure-modifier-MG\"> </a></td><td>The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional</td><td/></tr><tr><td style=\"white-space:nowrap\">MH<a name=\"procedure-modifier-MH\"> </a></td><td>Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider</td><td/></tr><tr><td style=\"white-space:nowrap\">MS<a name=\"procedure-modifier-MS\"> </a></td><td>Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty</td><td/></tr><tr><td style=\"white-space:nowrap\">NB<a name=\"procedure-modifier-NB\"> </a></td><td>Nebulizer system, any type, fda-cleared for use with specific drug</td><td/></tr><tr><td style=\"white-space:nowrap\">ND<a name=\"procedure-modifier-ND\"> </a></td><td>AMB-SNF to site NEC</td><td>Ambulance service from skilled nursing facility (SNF) to diagnostic or therapeutic site other than P or H</td></tr><tr><td style=\"white-space:nowrap\">NE<a name=\"procedure-modifier-NE\"> </a></td><td>AMB-SNF to RES facility</td><td>Ambulance service from skilled nursing facility (SNF) to residential facility</td></tr><tr><td style=\"white-space:nowrap\">NG<a name=\"procedure-modifier-NG\"> </a></td><td>AMB-SNF to hosp ESRD</td><td>Ambulance service from skilled nursing facility (SNF) to a hospital-based ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">NH<a name=\"procedure-modifier-NH\"> </a></td><td>AMB-SNF to hosp|Ambulance from skilled nursing facility to hosp|Ambulance service from skilled nursing facility (SNF) to hospital</td><td/></tr><tr><td style=\"white-space:nowrap\">NI<a name=\"procedure-modifier-NI\"> </a></td><td>AMB-SNF to transf site</td><td>Ambulance service from SNF to AMB mode transfer site</td></tr><tr><td style=\"white-space:nowrap\">NJ<a name=\"procedure-modifier-NJ\"> </a></td><td>AMB-SNF-free stand ESRD</td><td>Ambulance service from skilled nursing facility (SNF) to a free standing ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">NN<a name=\"procedure-modifier-NN\"> </a></td><td>Ambulance-SNF to SNF</td><td>Ambulance service from skilled nursing facility (SNF) to skilled nursing facility (SNF)</td></tr><tr><td style=\"white-space:nowrap\">NP<a name=\"procedure-modifier-NP\"> </a></td><td>AMB-SNF to phys office</td><td>Ambulance service from skilled nursing facility (SNF) to physician's office</td></tr><tr><td style=\"white-space:nowrap\">NR<a name=\"procedure-modifier-NR\"> </a></td><td>New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)</td><td/></tr><tr><td style=\"white-space:nowrap\">NS<a name=\"procedure-modifier-NS\"> </a></td><td>AMB-SNF to accident</td><td>Ambulance service from skilled nursing facility (SNF) to scene of accident or acute event</td></tr><tr><td style=\"white-space:nowrap\">NU<a name=\"procedure-modifier-NU\"> </a></td><td>New equipment</td><td/></tr><tr><td style=\"white-space:nowrap\">NX<a name=\"procedure-modifier-NX\"> </a></td><td>AMB-SNF to hosp w OV</td><td>Ambulance service from skilled nursing facility (SNF) to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">P1<a name=\"procedure-modifier-P1\"> </a></td><td>A normal healthy patient</td><td/></tr><tr><td style=\"white-space:nowrap\">P2<a name=\"procedure-modifier-P2\"> </a></td><td>A patient with mild systemic disease</td><td/></tr><tr><td style=\"white-space:nowrap\">P3<a name=\"procedure-modifier-P3\"> </a></td><td>A patient with severe systemic disease</td><td/></tr><tr><td style=\"white-space:nowrap\">P4<a name=\"procedure-modifier-P4\"> </a></td><td>A patient with severe systemic disease that is a constant threat to life</td><td/></tr><tr><td style=\"white-space:nowrap\">P5<a name=\"procedure-modifier-P5\"> </a></td><td>A moribund patient who is not expected to survive without the operation</td><td/></tr><tr><td style=\"white-space:nowrap\">P6<a name=\"procedure-modifier-P6\"> </a></td><td>A declared brain-dead patient whose organs are being removed for donor purposes</td><td/></tr><tr><td style=\"white-space:nowrap\">PA<a name=\"procedure-modifier-PA\"> </a></td><td>Surgical or other invasive procedure on wrong body part</td><td/></tr><tr><td style=\"white-space:nowrap\">PB<a name=\"procedure-modifier-PB\"> </a></td><td>Surgical or other invasive procedure on wrong patient</td><td/></tr><tr><td style=\"white-space:nowrap\">PC<a name=\"procedure-modifier-PC\"> </a></td><td>Wrong surgery or other invasive procedure on patient</td><td/></tr><tr><td style=\"white-space:nowrap\">PD<a name=\"procedure-modifier-PD\"> </a></td><td>Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days</td><td/></tr><tr><td style=\"white-space:nowrap\">PE<a name=\"procedure-modifier-PE\"> </a></td><td>AMB-OV to RES fac</td><td>Ambulance service from physician's office to residential facility</td></tr><tr><td style=\"white-space:nowrap\">PG<a name=\"procedure-modifier-PG\"> </a></td><td>AMB-OV to hosp ESRD</td><td>Ambulance service from physician's office to a hospital-based ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">PH<a name=\"procedure-modifier-PH\"> </a></td><td>AMB-phys office to hosp</td><td>Ambulance service from physician's office to hospital</td></tr><tr><td style=\"white-space:nowrap\">PI<a name=\"procedure-modifier-PI\"> </a></td><td>Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing</td><td/></tr><tr><td style=\"white-space:nowrap\">PJ<a name=\"procedure-modifier-PJ\"> </a></td><td>AMB-OV to FS ESRD</td><td>Ambulance service from physician's office to free standing ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">PL<a name=\"procedure-modifier-PL\"> </a></td><td>Progressive addition lenses</td><td/></tr><tr><td style=\"white-space:nowrap\">PM<a name=\"procedure-modifier-PM\"> </a></td><td>Post mortem</td><td/></tr><tr><td style=\"white-space:nowrap\">PN<a name=\"procedure-modifier-PN\"> </a></td><td>Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital</td><td/></tr><tr><td style=\"white-space:nowrap\">PO<a name=\"procedure-modifier-PO\"> </a></td><td>Excepted service provided at an off-campus, outpatient, provider-based department of a hospital</td><td/></tr><tr><td style=\"white-space:nowrap\">PR<a name=\"procedure-modifier-PR\"> </a></td><td>AMB-phys office to home</td><td>Ambulance service from physician's office to residence</td></tr><tr><td style=\"white-space:nowrap\">PS<a name=\"procedure-modifier-PS\"> </a></td><td>Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy</td><td/></tr><tr><td style=\"white-space:nowrap\">PT<a name=\"procedure-modifier-PT\"> </a></td><td>Colorectal cancer screening test; converted to diagnostic test or other procedure</td><td/></tr><tr><td style=\"white-space:nowrap\">PX<a name=\"procedure-modifier-PX\"> </a></td><td>AMB-OV to hosp+OV</td><td>Ambulance service from physician's office to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">Q0<a name=\"procedure-modifier-Q0\"> </a></td><td>Investigational clinical service provided in a clinical research study that is in an approved clinical research study</td><td/></tr><tr><td style=\"white-space:nowrap\">Q1<a name=\"procedure-modifier-Q1\"> </a></td><td>Routine clinical service provided in a clinical research study that is in an approved clinical research study</td><td/></tr><tr><td style=\"white-space:nowrap\">Q2<a name=\"procedure-modifier-Q2\"> </a></td><td>Demonstration procedure/service</td><td/></tr><tr><td style=\"white-space:nowrap\">Q3<a name=\"procedure-modifier-Q3\"> </a></td><td>Live kidney donor surgery and related services</td><td/></tr><tr><td style=\"white-space:nowrap\">Q4<a name=\"procedure-modifier-Q4\"> </a></td><td>Service for ordering/referring physician qualifies as a service exemption</td><td/></tr><tr><td style=\"white-space:nowrap\">Q5<a name=\"procedure-modifier-Q5\"> </a></td><td>Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area</td><td/></tr><tr><td style=\"white-space:nowrap\">Q6<a name=\"procedure-modifier-Q6\"> </a></td><td>Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area</td><td/></tr><tr><td style=\"white-space:nowrap\">Q7<a name=\"procedure-modifier-Q7\"> </a></td><td>One class a finding</td><td/></tr><tr><td style=\"white-space:nowrap\">Q8<a name=\"procedure-modifier-Q8\"> </a></td><td>Two class b findings</td><td/></tr><tr><td style=\"white-space:nowrap\">Q9<a name=\"procedure-modifier-Q9\"> </a></td><td>One class b and two class c findings</td><td/></tr><tr><td style=\"white-space:nowrap\">QA<a name=\"procedure-modifier-QA\"> </a></td><td>Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)</td><td/></tr><tr><td style=\"white-space:nowrap\">QB<a name=\"procedure-modifier-QB\"> </a></td><td>Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed</td><td/></tr><tr><td style=\"white-space:nowrap\">QC<a name=\"procedure-modifier-QC\"> </a></td><td>Single channel monitoring</td><td/></tr><tr><td style=\"white-space:nowrap\">QD<a name=\"procedure-modifier-QD\"> </a></td><td>Recording and storage in solid state memory by a digital recorder</td><td/></tr><tr><td style=\"white-space:nowrap\">QE<a name=\"procedure-modifier-QE\"> </a></td><td>Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)</td><td/></tr><tr><td style=\"white-space:nowrap\">QF<a name=\"procedure-modifier-QF\"> </a></td><td>Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed</td><td/></tr><tr><td style=\"white-space:nowrap\">QG<a name=\"procedure-modifier-QG\"> </a></td><td>Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)</td><td/></tr><tr><td style=\"white-space:nowrap\">QH<a name=\"procedure-modifier-QH\"> </a></td><td>Oxygen conserving device is being used with an oxygen delivery system</td><td/></tr><tr><td style=\"white-space:nowrap\">QJ<a name=\"procedure-modifier-QJ\"> </a></td><td>Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)</td><td/></tr><tr><td style=\"white-space:nowrap\">QK<a name=\"procedure-modifier-QK\"> </a></td><td>Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals</td><td/></tr><tr><td style=\"white-space:nowrap\">QL<a name=\"procedure-modifier-QL\"> </a></td><td>Patient pronounced dead after ambulance called</td><td/></tr><tr><td style=\"white-space:nowrap\">QM<a name=\"procedure-modifier-QM\"> </a></td><td>Ambulance service provided under arrangement by a provider of services</td><td/></tr><tr><td style=\"white-space:nowrap\">QN<a name=\"procedure-modifier-QN\"> </a></td><td>Ambulance service furnished directly by a provider of services</td><td/></tr><tr><td style=\"white-space:nowrap\">QP<a name=\"procedure-modifier-QP\"> </a></td><td>Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060.</td><td/></tr><tr><td style=\"white-space:nowrap\">QQ<a name=\"procedure-modifier-QQ\"> </a></td><td>Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional</td><td/></tr><tr><td style=\"white-space:nowrap\">QR<a name=\"procedure-modifier-QR\"> </a></td><td>Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)</td><td/></tr><tr><td style=\"white-space:nowrap\">QS<a name=\"procedure-modifier-QS\"> </a></td><td>Monitored anesthesia care service</td><td/></tr><tr><td style=\"white-space:nowrap\">QT<a name=\"procedure-modifier-QT\"> </a></td><td>Recording and storage on tape by an analog tape recorder</td><td/></tr><tr><td style=\"white-space:nowrap\">QW<a name=\"procedure-modifier-QW\"> </a></td><td>Clia waived test</td><td/></tr><tr><td style=\"white-space:nowrap\">QX<a name=\"procedure-modifier-QX\"> </a></td><td>Crna service: with medical direction by a physician</td><td/></tr><tr><td style=\"white-space:nowrap\">QY<a name=\"procedure-modifier-QY\"> </a></td><td>Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist</td><td/></tr><tr><td style=\"white-space:nowrap\">QZ<a name=\"procedure-modifier-QZ\"> </a></td><td>Crna service: without medical direction by a physician</td><td/></tr><tr><td style=\"white-space:nowrap\">RA<a name=\"procedure-modifier-RA\"> </a></td><td>Replacement of a dme, orthotic or prosthetic item</td><td/></tr><tr><td style=\"white-space:nowrap\">RB<a name=\"procedure-modifier-RB\"> </a></td><td>Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair</td><td/></tr><tr><td style=\"white-space:nowrap\">RC<a name=\"procedure-modifier-RC\"> </a></td><td>Right coronary artery</td><td/></tr><tr><td style=\"white-space:nowrap\">RD<a name=\"procedure-modifier-RD\"> </a></td><td>Drug provided to beneficiary, but not administered incident-to</td><td/></tr><tr><td style=\"white-space:nowrap\">RE<a name=\"procedure-modifier-RE\"> </a></td><td>Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)</td><td/></tr><tr><td style=\"white-space:nowrap\">RG<a name=\"procedure-modifier-RG\"> </a></td><td>AMB-home to hosp ESRD</td><td>Ambulance service from residence to hospital-based ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">RH<a name=\"procedure-modifier-RH\"> </a></td><td>AMB-home to hosp</td><td>Ambulance service from residence to hospital</td></tr><tr><td style=\"white-space:nowrap\">RI<a name=\"procedure-modifier-RI\"> </a></td><td>Ramus intermedius coronary artery</td><td/></tr><tr><td style=\"white-space:nowrap\">RJ<a name=\"procedure-modifier-RJ\"> </a></td><td>AMB-home-free stand ESRD</td><td>Ambulance service from residence to free standing ESRD facility</td></tr><tr><td style=\"white-space:nowrap\">RN<a name=\"procedure-modifier-RN\"> </a></td><td>AMB-home to SNF</td><td>Ambulance service from residence to skilled nursing facility (SNF)</td></tr><tr><td style=\"white-space:nowrap\">RP<a name=\"procedure-modifier-RP\"> </a></td><td>AMB-home to phys office</td><td>Ambulance service from residence to physician's office</td></tr><tr><td style=\"white-space:nowrap\">RR<a name=\"procedure-modifier-RR\"> </a></td><td>Rental (use the 'rr' modifier when dme is to be rented)</td><td/></tr><tr><td style=\"white-space:nowrap\">RS<a name=\"procedure-modifier-RS\"> </a></td><td>AMB-home to accident</td><td>Ambulance service from residence to scene of accident or acute event</td></tr><tr><td style=\"white-space:nowrap\">RT<a name=\"procedure-modifier-RT\"> </a></td><td>Right side (used to identify procedures performed on the right side of the body)</td><td/></tr><tr><td style=\"white-space:nowrap\">RX<a name=\"procedure-modifier-RX\"> </a></td><td>AMB-home to hosp w OV</td><td>Ambulance service from residence to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">SA<a name=\"procedure-modifier-SA\"> </a></td><td>Nurse practitioner rendering service in collaboration with a physician</td><td/></tr><tr><td style=\"white-space:nowrap\">SB<a name=\"procedure-modifier-SB\"> </a></td><td>Nurse midwife</td><td/></tr><tr><td style=\"white-space:nowrap\">SC<a name=\"procedure-modifier-SC\"> </a></td><td>Medically necessary service or supply</td><td/></tr><tr><td style=\"white-space:nowrap\">SD<a name=\"procedure-modifier-SD\"> </a></td><td>Services provided by registered nurse with specialized, highly technical home infusion training</td><td/></tr><tr><td style=\"white-space:nowrap\">SE<a name=\"procedure-modifier-SE\"> </a></td><td>State and/or federally-funded programs/services</td><td/></tr><tr><td style=\"white-space:nowrap\">SF<a name=\"procedure-modifier-SF\"> </a></td><td>Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)</td><td/></tr><tr><td style=\"white-space:nowrap\">SG<a name=\"procedure-modifier-SG\"> </a></td><td>Ambulatory surgical center (asc) facility service</td><td/></tr><tr><td style=\"white-space:nowrap\">SH<a name=\"procedure-modifier-SH\"> </a></td><td>Second concurrently administered infusion therapy</td><td/></tr><tr><td style=\"white-space:nowrap\">SI<a name=\"procedure-modifier-SI\"> </a></td><td>AMB-accident to transf</td><td>Ambulance from accident scene to AMB mode transfer site</td></tr><tr><td style=\"white-space:nowrap\">SJ<a name=\"procedure-modifier-SJ\"> </a></td><td>Third or more concurrently administered infusion therapy</td><td/></tr><tr><td style=\"white-space:nowrap\">SK<a name=\"procedure-modifier-SK\"> </a></td><td>Member of high risk population (use only with codes for immunization)</td><td/></tr><tr><td style=\"white-space:nowrap\">SL<a name=\"procedure-modifier-SL\"> </a></td><td>State supplied vaccine</td><td/></tr><tr><td style=\"white-space:nowrap\">SM<a name=\"procedure-modifier-SM\"> </a></td><td>Second surgical opinion</td><td/></tr><tr><td style=\"white-space:nowrap\">SN<a name=\"procedure-modifier-SN\"> </a></td><td>Third surgical opinion</td><td/></tr><tr><td style=\"white-space:nowrap\">SP<a name=\"procedure-modifier-SP\"> </a></td><td>AMB-accident to OV</td><td>Ambulance service from scene of accident or acute event to physician's office</td></tr><tr><td style=\"white-space:nowrap\">SQ<a name=\"procedure-modifier-SQ\"> </a></td><td>Item ordered by home health</td><td/></tr><tr><td style=\"white-space:nowrap\">SR<a name=\"procedure-modifier-SR\"> </a></td><td>AMB-accident to home</td><td>Ambulance service from scene of accident or acute event to residence</td></tr><tr><td style=\"white-space:nowrap\">SS<a name=\"procedure-modifier-SS\"> </a></td><td>Home infusion services provided in the infusion suite of the iv therapy provider</td><td/></tr><tr><td style=\"white-space:nowrap\">ST<a name=\"procedure-modifier-ST\"> </a></td><td>Related to trauma or injury</td><td/></tr><tr><td style=\"white-space:nowrap\">SU<a name=\"procedure-modifier-SU\"> </a></td><td>Procedure performed in physician's office (to denote use of facility and equipment)</td><td/></tr><tr><td style=\"white-space:nowrap\">SV<a name=\"procedure-modifier-SV\"> </a></td><td>Pharmaceuticals delivered to patient's home but not utilized</td><td/></tr><tr><td style=\"white-space:nowrap\">SW<a name=\"procedure-modifier-SW\"> </a></td><td>Services provided by a certified diabetic educator</td><td/></tr><tr><td style=\"white-space:nowrap\">SX<a name=\"procedure-modifier-SX\"> </a></td><td>AMB-accident to hosp+OV</td><td>Ambulance service from scene of accident or acute event to hospital with intermediate stop at physician's office</td></tr><tr><td style=\"white-space:nowrap\">SY<a name=\"procedure-modifier-SY\"> </a></td><td>Persons who are in close contact with member of high-risk population (use only with codes for immunization)</td><td/></tr><tr><td style=\"white-space:nowrap\">SZ<a name=\"procedure-modifier-SZ\"> </a></td><td>Habilitative services</td><td/></tr><tr><td style=\"white-space:nowrap\">T1<a name=\"procedure-modifier-T1\"> </a></td><td>Left foot, second digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T2<a name=\"procedure-modifier-T2\"> </a></td><td>Left foot, third digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T3<a name=\"procedure-modifier-T3\"> </a></td><td>Left foot, fourth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T4<a name=\"procedure-modifier-T4\"> </a></td><td>Left foot, fifth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T5<a name=\"procedure-modifier-T5\"> </a></td><td>Right foot, great toe</td><td/></tr><tr><td style=\"white-space:nowrap\">T6<a name=\"procedure-modifier-T6\"> </a></td><td>Right foot, second digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T7<a name=\"procedure-modifier-T7\"> </a></td><td>Right foot, third digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T8<a name=\"procedure-modifier-T8\"> </a></td><td>Right foot, fourth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">T9<a name=\"procedure-modifier-T9\"> </a></td><td>Right foot, fifth digit</td><td/></tr><tr><td style=\"white-space:nowrap\">TA<a name=\"procedure-modifier-TA\"> </a></td><td>Left foot, great toe</td><td/></tr><tr><td style=\"white-space:nowrap\">TB<a name=\"procedure-modifier-TB\"> </a></td><td>Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes</td><td/></tr><tr><td style=\"white-space:nowrap\">TC<a name=\"procedure-modifier-TC\"> </a></td><td>Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles</td><td/></tr><tr><td style=\"white-space:nowrap\">TD<a name=\"procedure-modifier-TD\"> </a></td><td>Rn</td><td/></tr><tr><td style=\"white-space:nowrap\">TE<a name=\"procedure-modifier-TE\"> </a></td><td>Lpn/lvn</td><td/></tr><tr><td style=\"white-space:nowrap\">TF<a name=\"procedure-modifier-TF\"> </a></td><td>Intermediate level of care</td><td/></tr><tr><td style=\"white-space:nowrap\">TG<a name=\"procedure-modifier-TG\"> </a></td><td>Complex/high tech level of care</td><td/></tr><tr><td style=\"white-space:nowrap\">TH<a name=\"procedure-modifier-TH\"> </a></td><td>Obstetrical treatment/services, prenatal or postpartum</td><td/></tr><tr><td style=\"white-space:nowrap\">TJ<a name=\"procedure-modifier-TJ\"> </a></td><td>Program group, child and/or adolescent</td><td/></tr><tr><td style=\"white-space:nowrap\">TK<a name=\"procedure-modifier-TK\"> </a></td><td>Extra patient or passenger, non-ambulance</td><td/></tr><tr><td style=\"white-space:nowrap\">TL<a name=\"procedure-modifier-TL\"> </a></td><td>Early intervention/individualized family service plan (ifsp)</td><td/></tr><tr><td style=\"white-space:nowrap\">TM<a name=\"procedure-modifier-TM\"> </a></td><td>Individualized education program (iep)</td><td/></tr><tr><td style=\"white-space:nowrap\">TN<a name=\"procedure-modifier-TN\"> </a></td><td>Rural/outside providers' customary service area</td><td/></tr><tr><td style=\"white-space:nowrap\">TP<a name=\"procedure-modifier-TP\"> </a></td><td>Medical transport, unloaded vehicle</td><td/></tr><tr><td style=\"white-space:nowrap\">TQ<a name=\"procedure-modifier-TQ\"> </a></td><td>Basic life support transport by a volunteer ambulance provider</td><td/></tr><tr><td style=\"white-space:nowrap\">TR<a name=\"procedure-modifier-TR\"> </a></td><td>School-based individualized education program (iep) services provided outside the public school district responsible for the student</td><td/></tr><tr><td style=\"white-space:nowrap\">TS<a name=\"procedure-modifier-TS\"> </a></td><td>Follow-up service</td><td/></tr><tr><td style=\"white-space:nowrap\">TT<a name=\"procedure-modifier-TT\"> </a></td><td>Individualized service provided to more than one patient in same setting</td><td/></tr><tr><td style=\"white-space:nowrap\">TU<a name=\"procedure-modifier-TU\"> </a></td><td>Special payment rate, overtime</td><td/></tr><tr><td style=\"white-space:nowrap\">TV<a name=\"procedure-modifier-TV\"> </a></td><td>Special payment rates, holidays/weekends</td><td/></tr><tr><td style=\"white-space:nowrap\">TW<a name=\"procedure-modifier-TW\"> </a></td><td>Back-up equipment</td><td/></tr><tr><td style=\"white-space:nowrap\">U1<a name=\"procedure-modifier-U1\"> </a></td><td>Medicaid level of care 1, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U2<a name=\"procedure-modifier-U2\"> </a></td><td>Medicaid level of care 2, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U3<a name=\"procedure-modifier-U3\"> </a></td><td>Medicaid level of care 3, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U4<a name=\"procedure-modifier-U4\"> </a></td><td>Medicaid level of care 4, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U5<a name=\"procedure-modifier-U5\"> </a></td><td>Medicaid level of care 5, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U6<a name=\"procedure-modifier-U6\"> </a></td><td>Medicaid level of care 6, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U7<a name=\"procedure-modifier-U7\"> </a></td><td>Medicaid level of care 7, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U8<a name=\"procedure-modifier-U8\"> </a></td><td>Medicaid level of care 8, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">U9<a name=\"procedure-modifier-U9\"> </a></td><td>Medicaid level of care 9, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">UA<a name=\"procedure-modifier-UA\"> </a></td><td>Medicaid level of care 10, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">UB<a name=\"procedure-modifier-UB\"> </a></td><td>Medicaid level of care 11, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">UC<a name=\"procedure-modifier-UC\"> </a></td><td>Medicaid level of care 12, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">UD<a name=\"procedure-modifier-UD\"> </a></td><td>Medicaid level of care 13, as defined by each state</td><td/></tr><tr><td style=\"white-space:nowrap\">UE<a name=\"procedure-modifier-UE\"> </a></td><td>Used durable medical equipment</td><td/></tr><tr><td style=\"white-space:nowrap\">UF<a name=\"procedure-modifier-UF\"> </a></td><td>Services provided in the morning</td><td/></tr><tr><td style=\"white-space:nowrap\">UG<a name=\"procedure-modifier-UG\"> </a></td><td>Services provided in the afternoon</td><td/></tr><tr><td style=\"white-space:nowrap\">UH<a name=\"procedure-modifier-UH\"> </a></td><td>Services provided in the evening</td><td/></tr><tr><td style=\"white-space:nowrap\">UJ<a name=\"procedure-modifier-UJ\"> </a></td><td>Services provided at night</td><td/></tr><tr><td style=\"white-space:nowrap\">UK<a name=\"procedure-modifier-UK\"> </a></td><td>Services provided on behalf of the client to someone other than the client (collateral relationship)</td><td/></tr><tr><td style=\"white-space:nowrap\">UN<a name=\"procedure-modifier-UN\"> </a></td><td>Two patients served</td><td/></tr><tr><td style=\"white-space:nowrap\">UP<a name=\"procedure-modifier-UP\"> </a></td><td>Three patients served</td><td/></tr><tr><td style=\"white-space:nowrap\">UQ<a name=\"procedure-modifier-UQ\"> </a></td><td>Four patients served</td><td/></tr><tr><td style=\"white-space:nowrap\">UR<a name=\"procedure-modifier-UR\"> </a></td><td>Five patients served</td><td/></tr><tr><td style=\"white-space:nowrap\">US<a name=\"procedure-modifier-US\"> </a></td><td>Six or more patients served</td><td/></tr><tr><td style=\"white-space:nowrap\">V1<a name=\"procedure-modifier-V1\"> </a></td><td>Demonstration modifier 1</td><td/></tr><tr><td style=\"white-space:nowrap\">V2<a name=\"procedure-modifier-V2\"> </a></td><td>Demonstration modifier 2</td><td/></tr><tr><td style=\"white-space:nowrap\">V3<a name=\"procedure-modifier-V3\"> </a></td><td>Demonstration modifier 3</td><td/></tr><tr><td style=\"white-space:nowrap\">V5<a name=\"procedure-modifier-V5\"> </a></td><td>Vascular catheter (alone or with any other vascular access)</td><td/></tr><tr><td style=\"white-space:nowrap\">V6<a name=\"procedure-modifier-V6\"> </a></td><td>Arteriovenous graft (or other vascular access not including a vascular catheter)</td><td/></tr><tr><td style=\"white-space:nowrap\">V7<a name=\"procedure-modifier-V7\"> </a></td><td>Arteriovenous fistula only (in use with two needles)</td><td/></tr><tr><td style=\"white-space:nowrap\">V8<a name=\"procedure-modifier-V8\"> </a></td><td>Infection present</td><td/></tr><tr><td style=\"white-space:nowrap\">V9<a name=\"procedure-modifier-V9\"> </a></td><td>No infection present</td><td/></tr><tr><td style=\"white-space:nowrap\">VM<a name=\"procedure-modifier-VM\"> </a></td><td>Medicare diabetes prevention program (mdpp) virtual make-up session</td><td/></tr><tr><td style=\"white-space:nowrap\">VP<a name=\"procedure-modifier-VP\"> </a></td><td>Aphakic patient</td><td/></tr><tr><td style=\"white-space:nowrap\">X1<a name=\"procedure-modifier-X1\"> </a></td><td>Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care</td><td/></tr><tr><td style=\"white-space:nowrap\">X2<a name=\"procedure-modifier-X2\"> </a></td><td>Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services</td><td/></tr><tr><td style=\"white-space:nowrap\">X3<a name=\"procedure-modifier-X3\"> </a></td><td>Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital</td><td/></tr><tr><td style=\"white-space:nowrap\">X4<a name=\"procedure-modifier-X4\"> </a></td><td>Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period</td><td/></tr><tr><td style=\"white-space:nowrap\">X5<a name=\"procedure-modifier-X5\"> </a></td><td>Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician</td><td/></tr><tr><td style=\"white-space:nowrap\">XE<a name=\"procedure-modifier-XE\"> </a></td><td>Separate encounter, a service that is distinct because it occurred during a separate encounter</td><td/></tr><tr><td style=\"white-space:nowrap\">XP<a name=\"procedure-modifier-XP\"> </a></td><td>Separate practitioner, a service that is distinct because it was performed by a different practitioner</td><td/></tr><tr><td style=\"white-space:nowrap\">XS<a name=\"procedure-modifier-XS\"> </a></td><td>Separate structure, a service that is distinct because it was performed on a separate organ/structure</td><td/></tr><tr><td style=\"white-space:nowrap\">XU<a name=\"procedure-modifier-XU\"> </a></td><td>Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service</td><td/></tr><tr><td style=\"white-space:nowrap\">ZA<a name=\"procedure-modifier-ZA\"> </a></td><td>Novartis/sandoz</td><td/></tr><tr><td style=\"white-space:nowrap\">ZB<a name=\"procedure-modifier-ZB\"> </a></td><td>Pfizer/hospira</td><td/></tr><tr><td style=\"white-space:nowrap\">ZC<a name=\"procedure-modifier-ZC\"> </a></td><td>Merck/samsung bioepis</td><td/></tr><tr><td style=\"white-space:nowrap\">22<a name=\"procedure-modifier-22\"> </a></td><td>Increased procedural svc</td><td>Increased procedural services</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"procedure-modifier-23\"> </a></td><td>Unusual anesthesia</td><td>Unusual anesthesia</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"procedure-modifier-24\"> </a></td><td>Oth E/M-same phys postop</td><td>Unrelated Evaluation and Management Service by the Same physician During a Postoperative Period</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"procedure-modifier-25\"> </a></td><td>SignificantE/M same phys/px</td><td>Significant E/M-same physician day of procedure/service</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"procedure-modifier-26\"> </a></td><td>Professional component</td><td>Professional component</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"procedure-modifier-27\"> </a></td><td>Mult outpt E/M same date</td><td>Multiple Outpatient Hospital E/M Encounters on the Same Date</td></tr><tr><td style=\"white-space:nowrap\">32<a name=\"procedure-modifier-32\"> </a></td><td>Mandated services</td><td>Mandated services</td></tr><tr><td style=\"white-space:nowrap\">33<a name=\"procedure-modifier-33\"> </a></td><td>Preventive services</td><td>Preventive services</td></tr><tr><td style=\"white-space:nowrap\">47<a name=\"procedure-modifier-47\"> </a></td><td>Anesthesia by surgeon</td><td>Anesthesia by surgeon</td></tr><tr><td style=\"white-space:nowrap\">50<a name=\"procedure-modifier-50\"> </a></td><td>Bilateral procedure</td><td>Bilateral procedure</td></tr><tr><td style=\"white-space:nowrap\">51<a name=\"procedure-modifier-51\"> </a></td><td>Multiple procedures</td><td>Multiple procedures</td></tr><tr><td style=\"white-space:nowrap\">52<a name=\"procedure-modifier-52\"> </a></td><td>Reduced services</td><td>Reduced services</td></tr><tr><td style=\"white-space:nowrap\">53<a name=\"procedure-modifier-53\"> </a></td><td>Discontinued procedure</td><td>Discontinued procedure</td></tr><tr><td style=\"white-space:nowrap\">54<a name=\"procedure-modifier-54\"> </a></td><td>Surgical care only</td><td>Surgical care only</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"procedure-modifier-55\"> </a></td><td>Postoperative management only</td><td>Postoperative management only</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"procedure-modifier-56\"> </a></td><td>Preoperative management only</td><td>Preoperative management only</td></tr><tr><td style=\"white-space:nowrap\">57<a name=\"procedure-modifier-57\"> </a></td><td>Decision for surgery</td><td>Decision for surgery</td></tr><tr><td style=\"white-space:nowrap\">58<a name=\"procedure-modifier-58\"> </a></td><td>Stg/rel px by same phys</td><td>Staged or Related Procedure or Service by the Same Physician During the Postoperative Period</td></tr><tr><td style=\"white-space:nowrap\">59<a name=\"procedure-modifier-59\"> </a></td><td>Distinct procedural svc</td><td>Distinct procedural service</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"procedure-modifier-62\"> </a></td><td>Two surgeons</td><td>Two surgeons</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"procedure-modifier-63\"> </a></td><td>Px on infants &lt;4 kg</td><td>Procedure performed on insants less than 4 kg</td></tr><tr><td style=\"white-space:nowrap\">66<a name=\"procedure-modifier-66\"> </a></td><td>Surgical team</td><td>Surgical team</td></tr><tr><td style=\"white-space:nowrap\">73<a name=\"procedure-modifier-73\"> </a></td><td>D/C OP/ASC px prior anes</td><td>Discontinued outpatient/ASC procedure prior to administration of anesthesia</td></tr><tr><td style=\"white-space:nowrap\">74<a name=\"procedure-modifier-74\"> </a></td><td>D/C OP/ASC px after anes</td><td>Discontinued outpatient/ASC procedure after administration of anesthesia</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"procedure-modifier-76\"> </a></td><td>Repeat px-same phys/HCP</td><td>Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional</td></tr><tr><td style=\"white-space:nowrap\">77<a name=\"procedure-modifier-77\"> </a></td><td>Repeat px-another phys/HCP</td><td>Repeat procedure, different provider</td></tr><tr><td style=\"white-space:nowrap\">78<a name=\"procedure-modifier-78\"> </a></td><td>Unplan return OR-rel px</td><td>Unplanned return to operating room during postoperative care, related procedure by the same provider</td></tr><tr><td style=\"white-space:nowrap\">79<a name=\"procedure-modifier-79\"> </a></td><td>Px postop-same phys</td><td>Unrelated Procedure or Service by the Same Physician During the Postoperative Period</td></tr><tr><td style=\"white-space:nowrap\">80<a name=\"procedure-modifier-80\"> </a></td><td>Assistant surgeon</td><td>Assistant surgeon</td></tr><tr><td style=\"white-space:nowrap\">81<a name=\"procedure-modifier-81\"> </a></td><td>Minimum asst surgeon</td><td>Minimum assistant surgeon</td></tr><tr><td style=\"white-space:nowrap\">82<a name=\"procedure-modifier-82\"> </a></td><td>Asst surgeon-no resident</td><td>Assistant Surgeon (when qualified resident surgeon not available)</td></tr><tr><td style=\"white-space:nowrap\">90<a name=\"procedure-modifier-90\"> </a></td><td>Reference (outside) lab</td><td>Reference (outside) laboratory</td></tr><tr><td style=\"white-space:nowrap\">91<a name=\"procedure-modifier-91\"> </a></td><td>Repeat dxtic lab test</td><td>Repeat clinical diagnostic laboratory test</td></tr><tr><td style=\"white-space:nowrap\">92<a name=\"procedure-modifier-92\"> </a></td><td>Alt lab platform testing</td><td>Alternative laboratory platform testing</td></tr><tr><td style=\"white-space:nowrap\">95<a name=\"procedure-modifier-95\"> </a></td><td>Synch telemedicine svc</td><td>Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system</td></tr><tr><td style=\"white-space:nowrap\">96<a name=\"procedure-modifier-96\"> </a></td><td>Habilitative Services</td><td>Habilitative Services</td></tr><tr><td style=\"white-space:nowrap\">97<a name=\"procedure-modifier-97\"> </a></td><td>Rehabilitative Services</td><td>Rehabilitative Services</td></tr><tr><td style=\"white-space:nowrap\">99<a name=\"procedure-modifier-99\"> </a></td><td>Multiple modifiers</td><td>Multiple modifiers</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/procedure-modifier"];
  fhir:CodeSystem.version [ fhir:value "8.0.0"];
  fhir:CodeSystem.name [ fhir:value "ProcedureModifierCodeSystem"];
  fhir:CodeSystem.title [ fhir:value "Procedure Modifier Codes"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2022-11-10T16:00:46+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "LinuxForHealth Team"];
  fhir:CodeSystem.description [ fhir:value "Codes indicating the procedure modifiers"];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
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  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "1P" ];
     fhir:CodeSystem.concept.display [ fhir:value "PM excl-med reasons" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Performance measure exclusion-medical reasons" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "2P" ];
     fhir:CodeSystem.concept.display [ fhir:value "PM excl-pt reasons" ];
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  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "3P" ];
     fhir:CodeSystem.concept.display [ fhir:value "PM excl-system reason" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Performance measure exclusion-system reasons" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "A1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dressing for one wound" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Dressing for five wounds" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Dressing for six wounds" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Dressing for seven wounds" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Dressing for eight wounds" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Dressing for nine or more wounds" ]
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     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "AA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Anesthesia services performed personally by anesthesiologist" ]
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     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "AD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical supervision by a physician: more than four concurrent anesthesia procedures" ]
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     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "AE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Registered dietician" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "AF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialty physician" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "AG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Primary physician" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "AH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Clinical psychologist" ]
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     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "AI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Principal physician of record" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "AJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Clinical social worker" ]
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     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "AK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Non participating physician" ]
  ], [
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     fhir:CodeSystem.concept.code [ fhir:value "AM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Physician, team member service" ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "AO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alternate payment method declined by provider of service" ]
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     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "AP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Determination of refractive state was not performed in the course of diagnostic ophthalmological examination" ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "AQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Physician providing a service in an unlisted health professional shortage area (hpsa)" ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "AR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Physician provider services in a physician scarcity area" ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "AS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery" ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "AT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)" ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "AU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item furnished in conjunction with a urological, ostomy, or tracheostomy supply" ]
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     fhir:CodeSystem.concept.code [ fhir:value "AV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item furnished in conjunction with a prosthetic device, prosthetic or orthotic" ]
  ], [
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     fhir:CodeSystem.concept.display [ fhir:value "Item furnished in conjunction with a surgical dressing" ]
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     fhir:CodeSystem.concept.code [ fhir:value "AX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item furnished in conjunction with dialysis services" ]
  ], [
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     fhir:CodeSystem.concept.display [ fhir:value "Item or service furnished to an esrd patient that is not for the treatment of esrd" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment" ]
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     fhir:CodeSystem.concept.display [ fhir:value "Item furnished in conjunction with parenteral enteral nutrition (pen) services" ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "BL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Special acquisition of blood and blood products" ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "BO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Orally administered nutrition, not by feeding tube" ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "BP" ];
     fhir:CodeSystem.concept.display [ fhir:value "The beneficiary has been informed of the purchase and rental options and has elected to purchase the item" ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "BR" ];
     fhir:CodeSystem.concept.display [ fhir:value "The beneficiary has been informed of the purchase and rental options and has elected to rent the item" ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "BU" ];
     fhir:CodeSystem.concept.display [ fhir:value "The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision" ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "CA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission" ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "CB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable" ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "CC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)" ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "CD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable" ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "CE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal * frequency covered under the rate and is separately reimbursable based on medical necessity" ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "CF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable" ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.concept.code [ fhir:value "CG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Policy criteria applied" ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.concept.code [ fhir:value "CH" ];
     fhir:CodeSystem.concept.display [ fhir:value "0 percent impaired, limited or restricted" ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.concept.code [ fhir:value "CI" ];
     fhir:CodeSystem.concept.display [ fhir:value "At least 1 percent but less than 20 percent impaired, limited or restricted" ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.concept.code [ fhir:value "CJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "At least 20 percent but less than 40 percent impaired, limited or restricted" ]
  ], [
     fhir:index 50;
     fhir:CodeSystem.concept.code [ fhir:value "CK" ];
     fhir:CodeSystem.concept.display [ fhir:value "At least 40 percent but less than 60 percent impaired, limited or restricted" ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.concept.code [ fhir:value "CL" ];
     fhir:CodeSystem.concept.display [ fhir:value "At least 60 percent but less than 80 percent impaired, limited or restricted" ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.concept.code [ fhir:value "CM" ];
     fhir:CodeSystem.concept.display [ fhir:value "At least 80 percent but less than 100 percent impaired, limited or restricted" ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.concept.code [ fhir:value "CN" ];
     fhir:CodeSystem.concept.display [ fhir:value "100 percent impaired, limited or restricted" ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.concept.code [ fhir:value "CO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant" ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.concept.code [ fhir:value "CP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim" ]
  ], [
     fhir:index 56;
     fhir:CodeSystem.concept.code [ fhir:value "CQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant" ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.concept.code [ fhir:value "CR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Catastrophe/disaster related" ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.concept.code [ fhir:value "CS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the gulf of mexico, including but not limited to subsequent clean-up activities" ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.concept.code [ fhir:value "CT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard" ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.concept.code [ fhir:value "DA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oral health assessment by a licensed health professional other than a dentist" ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.concept.code [ fhir:value "DD" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to site NEC" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H  to diagnostic or therapeutic site other than P or H" ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.concept.code [ fhir:value "DE" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to RES fac" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to residential" ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.concept.code [ fhir:value "DG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC-hosp ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to hospital-based ESRD facility" ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.concept.code [ fhir:value "DH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to hospital" ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.concept.code [ fhir:value "DI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC-transf site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to site of transfer" ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.concept.code [ fhir:value "DJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-NEC-Free stand ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to free standing ESRD facility" ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.concept.code [ fhir:value "DN" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to skilled nursing facility (SNF)" ]
  ], [
     fhir:index 68;
     fhir:CodeSystem.concept.code [ fhir:value "DP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to physician's office" ]
  ], [
     fhir:index 69;
     fhir:CodeSystem.concept.code [ fhir:value "DR" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to home" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to residence" ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.concept.code [ fhir:value "DS" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to scene of accident or acute event" ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.concept.code [ fhir:value "DX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-site NEC to hosp+OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from diagnostic or therapeutic site other than P or H to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.concept.code [ fhir:value "E1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Upper left, eyelid" ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.concept.code [ fhir:value "E2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower left, eyelid" ]
  ], [
     fhir:index 74;
     fhir:CodeSystem.concept.code [ fhir:value "E3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Upper right, eyelid" ]
  ], [
     fhir:index 75;
     fhir:CodeSystem.concept.code [ fhir:value "E4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower right, eyelid" ]
  ], [
     fhir:index 76;
     fhir:CodeSystem.concept.code [ fhir:value "EA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy" ]
  ], [
     fhir:index 77;
     fhir:CodeSystem.concept.code [ fhir:value "EB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy" ]
  ], [
     fhir:index 78;
     fhir:CodeSystem.concept.code [ fhir:value "EC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy" ]
  ], [
     fhir:index 79;
     fhir:CodeSystem.concept.code [ fhir:value "ED" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle" ]
  ], [
     fhir:index 80;
     fhir:CodeSystem.concept.code [ fhir:value "EE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle" ]
  ], [
     fhir:index 81;
     fhir:CodeSystem.concept.code [ fhir:value "EG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-RES fac-hosp ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from RES facility to hosp-based ESRD facility" ]
  ], [
     fhir:index 82;
     fhir:CodeSystem.concept.code [ fhir:value "EH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-RES facility to hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from residential facility to hospital" ]
  ], [
     fhir:index 83;
     fhir:CodeSystem.concept.code [ fhir:value "EI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-RES fac-transf site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from residential fac to AMB mode transf site" ]
  ], [
     fhir:index 84;
     fhir:CodeSystem.concept.code [ fhir:value "EJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab" ]
  ], [
     fhir:index 85;
     fhir:CodeSystem.concept.code [ fhir:value "EM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Emergency reserve supply (for esrd benefit only)" ]
  ], [
     fhir:index 86;
     fhir:CodeSystem.concept.code [ fhir:value "EN" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-RES facility to SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residential" ]
  ], [
     fhir:index 87;
     fhir:CodeSystem.concept.code [ fhir:value "EP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program" ]
  ], [
     fhir:index 88;
     fhir:CodeSystem.concept.code [ fhir:value "ER" ];
     fhir:CodeSystem.concept.display [ fhir:value "Items and services furnished by a provider-based, off-campus emergency department" ]
  ], [
     fhir:index 89;
     fhir:CodeSystem.concept.code [ fhir:value "ES" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-RES fac to accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from residential facility to accident scene" ]
  ], [
     fhir:index 90;
     fhir:CodeSystem.concept.code [ fhir:value "ET" ];
     fhir:CodeSystem.concept.display [ fhir:value "Emergency services" ]
  ], [
     fhir:index 91;
     fhir:CodeSystem.concept.code [ fhir:value "EX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Expatriate beneficiary" ]
  ], [
     fhir:index 92;
     fhir:CodeSystem.concept.code [ fhir:value "EY" ];
     fhir:CodeSystem.concept.display [ fhir:value "No physician or other licensed health care provider order for this item or service" ]
  ], [
     fhir:index 93;
     fhir:CodeSystem.concept.code [ fhir:value "F1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left hand, second digit" ]
  ], [
     fhir:index 94;
     fhir:CodeSystem.concept.code [ fhir:value "F2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left hand, third digit" ]
  ], [
     fhir:index 95;
     fhir:CodeSystem.concept.code [ fhir:value "F3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left hand, fourth digit" ]
  ], [
     fhir:index 96;
     fhir:CodeSystem.concept.code [ fhir:value "F4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left hand, fifth digit" ]
  ], [
     fhir:index 97;
     fhir:CodeSystem.concept.code [ fhir:value "F5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right hand, thumb" ]
  ], [
     fhir:index 98;
     fhir:CodeSystem.concept.code [ fhir:value "F6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right hand, second digit" ]
  ], [
     fhir:index 99;
     fhir:CodeSystem.concept.code [ fhir:value "F7" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right hand, third digit" ]
  ], [
     fhir:index 100;
     fhir:CodeSystem.concept.code [ fhir:value "F8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right hand, fourth digit" ]
  ], [
     fhir:index 101;
     fhir:CodeSystem.concept.code [ fhir:value "F9" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right hand, fifth digit" ]
  ], [
     fhir:index 102;
     fhir:CodeSystem.concept.code [ fhir:value "FA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left hand, thumb" ]
  ], [
     fhir:index 103;
     fhir:CodeSystem.concept.code [ fhir:value "FB" ];
     fhir:CodeSystem.concept.display [ fhir:value "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)" ]
  ], [
     fhir:index 104;
     fhir:CodeSystem.concept.code [ fhir:value "FC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Partial credit received for replaced device" ]
  ], [
     fhir:index 105;
     fhir:CodeSystem.concept.code [ fhir:value "FP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service provided as part of family planning program" ]
  ], [
     fhir:index 106;
     fhir:CodeSystem.concept.code [ fhir:value "FX" ];
     fhir:CodeSystem.concept.display [ fhir:value "X-ray taken using film" ]
  ], [
     fhir:index 107;
     fhir:CodeSystem.concept.code [ fhir:value "FY" ];
     fhir:CodeSystem.concept.display [ fhir:value "X-ray taken using computed radiography technology/cassette-based imaging" ]
  ], [
     fhir:index 108;
     fhir:CodeSystem.concept.code [ fhir:value "G0" ];
     fhir:CodeSystem.concept.display [ fhir:value "Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke" ]
  ], [
     fhir:index 109;
     fhir:CodeSystem.concept.code [ fhir:value "G1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Most recent urr reading of less than 60" ]
  ], [
     fhir:index 110;
     fhir:CodeSystem.concept.code [ fhir:value "G2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Most recent urr reading of 60 to 64.9" ]
  ], [
     fhir:index 111;
     fhir:CodeSystem.concept.code [ fhir:value "G3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Most recent urr reading of 65 to 69.9" ]
  ], [
     fhir:index 112;
     fhir:CodeSystem.concept.code [ fhir:value "G4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Most recent urr reading of 70 to 74.9" ]
  ], [
     fhir:index 113;
     fhir:CodeSystem.concept.code [ fhir:value "G5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Most recent urr reading of 75 or greater" ]
  ], [
     fhir:index 114;
     fhir:CodeSystem.concept.code [ fhir:value "G6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Esrd patient for whom less than six dialysis sessions have been provided in a month" ]
  ], [
     fhir:index 115;
     fhir:CodeSystem.concept.code [ fhir:value "G7" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening" ]
  ], [
     fhir:index 116;
     fhir:CodeSystem.concept.code [ fhir:value "G8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure" ]
  ], [
     fhir:index 117;
     fhir:CodeSystem.concept.code [ fhir:value "G9" ];
     fhir:CodeSystem.concept.display [ fhir:value "Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition" ]
  ], [
     fhir:index 118;
     fhir:CodeSystem.concept.code [ fhir:value "GA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Waiver of liability statement issued as required by payer policy, individual case" ]
  ], [
     fhir:index 119;
     fhir:CodeSystem.concept.code [ fhir:value "GB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Claim being re-submitted for payment because it is no longer covered under a global payment demonstration" ]
  ], [
     fhir:index 120;
     fhir:CodeSystem.concept.code [ fhir:value "GC" ];
     fhir:CodeSystem.concept.display [ fhir:value "This service has been performed in part by a resident under the direction of a teaching physician" ]
  ], [
     fhir:index 121;
     fhir:CodeSystem.concept.code [ fhir:value "GD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Units of service exceeds medically unlikely edit value and represents reasonable and necessary services" ]
  ], [
     fhir:index 122;
     fhir:CodeSystem.concept.code [ fhir:value "GE" ];
     fhir:CodeSystem.concept.display [ fhir:value "This service has been performed by a resident without the presence of a teaching physician under the primary care exception" ]
  ], [
     fhir:index 123;
     fhir:CodeSystem.concept.code [ fhir:value "GF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital" ]
  ], [
     fhir:index 124;
     fhir:CodeSystem.concept.code [ fhir:value "GG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day" ]
  ], [
     fhir:index 125;
     fhir:CodeSystem.concept.code [ fhir:value "GH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic mammogram converted from screening mammogram on same day" ]
  ], [
     fhir:index 126;
     fhir:CodeSystem.concept.code [ fhir:value "GI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-hosp ESRD-transfer" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from hosp-based ESRD facility to ambulance mode transfer" ]
  ], [
     fhir:index 127;
     fhir:CodeSystem.concept.code [ fhir:value "GJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Opt out emerg svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Opt out physician or practitioner emergency or urgent service" ]
  ], [
     fhir:index 128;
     fhir:CodeSystem.concept.code [ fhir:value "GK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Reasonable and necessary item/service associated with a ga or gz modifier" ]
  ], [
     fhir:index 129;
     fhir:CodeSystem.concept.code [ fhir:value "GL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)" ]
  ], [
     fhir:index 130;
     fhir:CodeSystem.concept.code [ fhir:value "GM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Multiple patients on one ambulance trip" ]
  ], [
     fhir:index 131;
     fhir:CodeSystem.concept.code [ fhir:value "GN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services delivered under an outpatient speech language pathology plan of care" ]
  ], [
     fhir:index 132;
     fhir:CodeSystem.concept.code [ fhir:value "GO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services delivered under an outpatient occupational therapy plan of care" ]
  ], [
     fhir:index 133;
     fhir:CodeSystem.concept.code [ fhir:value "GP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services delivered under an outpatient physical therapy plan of care" ]
  ], [
     fhir:index 134;
     fhir:CodeSystem.concept.code [ fhir:value "GQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Via asynchronous telecommunications system" ]
  ], [
     fhir:index 135;
     fhir:CodeSystem.concept.code [ fhir:value "GR" ];
     fhir:CodeSystem.concept.display [ fhir:value "This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy" ]
  ], [
     fhir:index 136;
     fhir:CodeSystem.concept.code [ fhir:value "GS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level" ]
  ], [
     fhir:index 137;
     fhir:CodeSystem.concept.code [ fhir:value "GT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Via interactive audio and video telecommunication systems" ]
  ], [
     fhir:index 138;
     fhir:CodeSystem.concept.code [ fhir:value "GU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Waiver of liability statement issued as required by payer policy, routine notice" ]
  ], [
     fhir:index 139;
     fhir:CodeSystem.concept.code [ fhir:value "GV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Attending physician not employed or paid under arrangement by the patient's hospice provider" ]
  ], [
     fhir:index 140;
     fhir:CodeSystem.concept.code [ fhir:value "GW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service not related to the hospice patient's terminal condition" ]
  ], [
     fhir:index 141;
     fhir:CodeSystem.concept.code [ fhir:value "GX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Notice of liability issued, voluntary under payer policy" ]
  ], [
     fhir:index 142;
     fhir:CodeSystem.concept.code [ fhir:value "GY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit" ]
  ], [
     fhir:index 143;
     fhir:CodeSystem.concept.code [ fhir:value "GZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item or service expected to be denied as not reasonable and necessary" ]
  ], [
     fhir:index 144;
     fhir:CodeSystem.concept.code [ fhir:value "H9" ];
     fhir:CodeSystem.concept.display [ fhir:value "Court-ordered" ]
  ], [
     fhir:index 145;
     fhir:CodeSystem.concept.code [ fhir:value "HA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Child/adolescent program" ]
  ], [
     fhir:index 146;
     fhir:CodeSystem.concept.code [ fhir:value "HB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Adult program, non geriatric" ]
  ], [
     fhir:index 147;
     fhir:CodeSystem.concept.code [ fhir:value "HC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Adult program, geriatric" ]
  ], [
     fhir:index 148;
     fhir:CodeSystem.concept.code [ fhir:value "HD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pregnant/parenting women's program" ]
  ], [
     fhir:index 149;
     fhir:CodeSystem.concept.code [ fhir:value "HE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mental health program" ]
  ], [
     fhir:index 150;
     fhir:CodeSystem.concept.code [ fhir:value "HF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Substance abuse program" ]
  ], [
     fhir:index 151;
     fhir:CodeSystem.concept.code [ fhir:value "HG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Opioid addiction treatment program" ]
  ], [
     fhir:index 152;
     fhir:CodeSystem.concept.code [ fhir:value "HH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Integrated mental health/substance abuse program" ]
  ], [
     fhir:index 153;
     fhir:CodeSystem.concept.code [ fhir:value "HI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Integrated mental health and intellectual disability/developmental disabilities program" ]
  ], [
     fhir:index 154;
     fhir:CodeSystem.concept.code [ fhir:value "HJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Employee assistance program" ]
  ], [
     fhir:index 155;
     fhir:CodeSystem.concept.code [ fhir:value "HK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialized mental health programs for high-risk populations" ]
  ], [
     fhir:index 156;
     fhir:CodeSystem.concept.code [ fhir:value "HL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Intern" ]
  ], [
     fhir:index 157;
     fhir:CodeSystem.concept.code [ fhir:value "HM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Less than bachelor degree level" ]
  ], [
     fhir:index 158;
     fhir:CodeSystem.concept.code [ fhir:value "HN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Bachelors degree level" ]
  ], [
     fhir:index 159;
     fhir:CodeSystem.concept.code [ fhir:value "HO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Masters degree level" ]
  ], [
     fhir:index 160;
     fhir:CodeSystem.concept.code [ fhir:value "HP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Doctoral level" ]
  ], [
     fhir:index 161;
     fhir:CodeSystem.concept.code [ fhir:value "HQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Group setting" ]
  ], [
     fhir:index 162;
     fhir:CodeSystem.concept.code [ fhir:value "HR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Family/couple with client present" ]
  ], [
     fhir:index 163;
     fhir:CodeSystem.concept.code [ fhir:value "HS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Family/couple without client present" ]
  ], [
     fhir:index 164;
     fhir:CodeSystem.concept.code [ fhir:value "HT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Multi-disciplinary team" ]
  ], [
     fhir:index 165;
     fhir:CodeSystem.concept.code [ fhir:value "HU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded by child welfare agency" ]
  ], [
     fhir:index 166;
     fhir:CodeSystem.concept.code [ fhir:value "HV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded state addictions agency" ]
  ], [
     fhir:index 167;
     fhir:CodeSystem.concept.code [ fhir:value "HW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded by state mental health agency" ]
  ], [
     fhir:index 168;
     fhir:CodeSystem.concept.code [ fhir:value "HX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded by county/local agency" ]
  ], [
     fhir:index 169;
     fhir:CodeSystem.concept.code [ fhir:value "HY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded by juvenile justice agency" ]
  ], [
     fhir:index 170;
     fhir:CodeSystem.concept.code [ fhir:value "HZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Funded by criminal justice agency" ]
  ], [
     fhir:index 171;
     fhir:CodeSystem.concept.code [ fhir:value "ID" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to NEC" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to diagnostic or therapeutic site NEC" ]
  ], [
     fhir:index 172;
     fhir:CodeSystem.concept.code [ fhir:value "IE" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to RES" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to RES facility" ]
  ], [
     fhir:index 173;
     fhir:CodeSystem.concept.code [ fhir:value "IG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site-ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transf site to hosp ESRD facility" ]
  ], [
     fhir:index 174;
     fhir:CodeSystem.concept.code [ fhir:value "IH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to hospital" ]
  ], [
     fhir:index 175;
     fhir:CodeSystem.concept.code [ fhir:value "II" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site-transf" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transf site to AMB mode transfer" ]
  ], [
     fhir:index 176;
     fhir:CodeSystem.concept.code [ fhir:value "IJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site-FS ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transf site to free stand ESRD facility" ]
  ], [
     fhir:index 177;
     fhir:CodeSystem.concept.code [ fhir:value "IN" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to SNF" ]
  ], [
     fhir:index 178;
     fhir:CodeSystem.concept.code [ fhir:value "IP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to phys office" ]
  ], [
     fhir:index 179;
     fhir:CodeSystem.concept.code [ fhir:value "IR" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to home" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transfer site to residence" ]
  ], [
     fhir:index 180;
     fhir:CodeSystem.concept.code [ fhir:value "IS" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site to accid" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from transfer site to accident scene" ]
  ], [
     fhir:index 181;
     fhir:CodeSystem.concept.code [ fhir:value "IX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-transf site-OV/hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from AMB mode transf site to OV/hospital" ]
  ], [
     fhir:index 182;
     fhir:CodeSystem.concept.code [ fhir:value "J1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Competitive acquisition program no-pay submission for a prescription number" ]
  ], [
     fhir:index 183;
     fhir:CodeSystem.concept.code [ fhir:value "J2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Competitive acquisition program, restocking of emergency drugs after emergency administration" ]
  ], [
     fhir:index 184;
     fhir:CodeSystem.concept.code [ fhir:value "J3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology" ]
  ], [
     fhir:index 185;
     fhir:CodeSystem.concept.code [ fhir:value "J4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge" ]
  ], [
     fhir:index 186;
     fhir:CodeSystem.concept.code [ fhir:value "JA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administered intravenously" ]
  ], [
     fhir:index 187;
     fhir:CodeSystem.concept.code [ fhir:value "JB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administered subcutaneously" ]
  ], [
     fhir:index 188;
     fhir:CodeSystem.concept.code [ fhir:value "JC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Skin substitute used as a graft" ]
  ], [
     fhir:index 189;
     fhir:CodeSystem.concept.code [ fhir:value "JD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Skin substitute not used as a graft" ]
  ], [
     fhir:index 190;
     fhir:CodeSystem.concept.code [ fhir:value "JE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administered via dialysate" ]
  ], [
     fhir:index 191;
     fhir:CodeSystem.concept.code [ fhir:value "JF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Compounded drug" ]
  ], [
     fhir:index 192;
     fhir:CodeSystem.concept.code [ fhir:value "JG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drug or biological acquired with 340b drug pricing program discount" ]
  ], [
     fhir:index 193;
     fhir:CodeSystem.concept.code [ fhir:value "JH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-free stand ESRD-hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to hospital" ]
  ], [
     fhir:index 194;
     fhir:CodeSystem.concept.code [ fhir:value "JI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-FS ESRD-transf site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD fac to AMB transf site" ]
  ], [
     fhir:index 195;
     fhir:CodeSystem.concept.code [ fhir:value "JJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-free stand ESRD-same" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to free standing ESRD facility" ]
  ], [
     fhir:index 196;
     fhir:CodeSystem.concept.code [ fhir:value "JN" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-free stand ESRD-SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to skilled nursing facility (SNF)" ]
  ], [
     fhir:index 197;
     fhir:CodeSystem.concept.code [ fhir:value "JP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-free stand ESRD-OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to physician's office" ]
  ], [
     fhir:index 198;
     fhir:CodeSystem.concept.code [ fhir:value "JR" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-free stand ESRD-home" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to residence" ]
  ], [
     fhir:index 199;
     fhir:CodeSystem.concept.code [ fhir:value "JS" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-FS ESRD to accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to scene of accident or acute event" ]
  ], [
     fhir:index 200;
     fhir:CodeSystem.concept.code [ fhir:value "JW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drug amount discarded/not administered to any patient" ]
  ], [
     fhir:index 201;
     fhir:CodeSystem.concept.code [ fhir:value "JX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-FS ESRD-hosp w OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from free standing ESRD facility to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 202;
     fhir:CodeSystem.concept.code [ fhir:value "K0" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility." ]
  ], [
     fhir:index 203;
     fhir:CodeSystem.concept.code [ fhir:value "K1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator." ]
  ], [
     fhir:index 204;
     fhir:CodeSystem.concept.code [ fhir:value "K2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces.  typical of the limited community ambulator." ]
  ], [
     fhir:index 205;
     fhir:CodeSystem.concept.code [ fhir:value "K3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence.  typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion." ]
  ], [
     fhir:index 206;
     fhir:CodeSystem.concept.code [ fhir:value "K4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete." ]
  ], [
     fhir:index 207;
     fhir:CodeSystem.concept.code [ fhir:value "KA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Add on option/accessory for wheelchair" ]
  ], [
     fhir:index 208;
     fhir:CodeSystem.concept.code [ fhir:value "KB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim" ]
  ], [
     fhir:index 209;
     fhir:CodeSystem.concept.code [ fhir:value "KC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Replacement of special power wheelchair interface" ]
  ], [
     fhir:index 210;
     fhir:CodeSystem.concept.code [ fhir:value "KD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drug or biological infused through dme" ]
  ], [
     fhir:index 211;
     fhir:CodeSystem.concept.code [ fhir:value "KE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment" ]
  ], [
     fhir:index 212;
     fhir:CodeSystem.concept.code [ fhir:value "KF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item designated by fda as class iii device" ]
  ], [
     fhir:index 213;
     fhir:CodeSystem.concept.code [ fhir:value "KG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program number 1" ]
  ], [
     fhir:index 214;
     fhir:CodeSystem.concept.code [ fhir:value "KH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item, initial claim, purchase or first month rental" ]
  ], [
     fhir:index 215;
     fhir:CodeSystem.concept.code [ fhir:value "KI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item, second or third month rental" ]
  ], [
     fhir:index 216;
     fhir:CodeSystem.concept.code [ fhir:value "KJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen" ]
  ], [
     fhir:index 217;
     fhir:CodeSystem.concept.code [ fhir:value "KK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program number 2" ]
  ], [
     fhir:index 218;
     fhir:CodeSystem.concept.code [ fhir:value "KL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item delivered via mail" ]
  ], [
     fhir:index 219;
     fhir:CodeSystem.concept.code [ fhir:value "KM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Replacement of facial prosthesis including new impression/moulage" ]
  ], [
     fhir:index 220;
     fhir:CodeSystem.concept.code [ fhir:value "KN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Replacement of facial prosthesis using previous master model" ]
  ], [
     fhir:index 221;
     fhir:CodeSystem.concept.code [ fhir:value "KO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Single drug unit dose formulation" ]
  ], [
     fhir:index 222;
     fhir:CodeSystem.concept.code [ fhir:value "KP" ];
     fhir:CodeSystem.concept.display [ fhir:value "First drug of a multiple drug unit dose formulation" ]
  ], [
     fhir:index 223;
     fhir:CodeSystem.concept.code [ fhir:value "KQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Second or subsequent drug of a multiple drug unit dose formulation" ]
  ], [
     fhir:index 224;
     fhir:CodeSystem.concept.code [ fhir:value "KR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rental item, billing for partial month" ]
  ], [
     fhir:index 225;
     fhir:CodeSystem.concept.code [ fhir:value "KS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Glucose monitor supply for diabetic beneficiary not treated with insulin" ]
  ], [
     fhir:index 226;
     fhir:CodeSystem.concept.code [ fhir:value "KT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item" ]
  ], [
     fhir:index 227;
     fhir:CodeSystem.concept.code [ fhir:value "KU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program number 3" ]
  ], [
     fhir:index 228;
     fhir:CodeSystem.concept.code [ fhir:value "KV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service" ]
  ], [
     fhir:index 229;
     fhir:CodeSystem.concept.code [ fhir:value "KW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program number 4" ]
  ], [
     fhir:index 230;
     fhir:CodeSystem.concept.code [ fhir:value "KX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Requirements specified in the medical policy have been met" ]
  ], [
     fhir:index 231;
     fhir:CodeSystem.concept.code [ fhir:value "KY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dmepos item subject to dmepos competitive bidding program number 5" ]
  ], [
     fhir:index 232;
     fhir:CodeSystem.concept.code [ fhir:value "KZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "New coverage not implemented by managed care" ]
  ], [
     fhir:index 233;
     fhir:CodeSystem.concept.code [ fhir:value "L1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps" ]
  ], [
     fhir:index 234;
     fhir:CodeSystem.concept.code [ fhir:value "LC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left circumflex coronary artery" ]
  ], [
     fhir:index 235;
     fhir:CodeSystem.concept.code [ fhir:value "LD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left anterior descending coronary artery" ]
  ], [
     fhir:index 236;
     fhir:CodeSystem.concept.code [ fhir:value "LL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)" ]
  ], [
     fhir:index 237;
     fhir:CodeSystem.concept.code [ fhir:value "LM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left main coronary artery" ]
  ], [
     fhir:index 238;
     fhir:CodeSystem.concept.code [ fhir:value "LR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Laboratory round trip" ]
  ], [
     fhir:index 239;
     fhir:CodeSystem.concept.code [ fhir:value "LS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fda-monitored intraocular lens implant" ]
  ], [
     fhir:index 240;
     fhir:CodeSystem.concept.code [ fhir:value "LT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left side (used to identify procedures performed on the left side of the body)" ]
  ], [
     fhir:index 241;
     fhir:CodeSystem.concept.code [ fhir:value "M2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicare secondary payer (msp)" ]
  ], [
     fhir:index 242;
     fhir:CodeSystem.concept.code [ fhir:value "MA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition" ]
  ], [
     fhir:index 243;
     fhir:CodeSystem.concept.code [ fhir:value "MB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access" ]
  ], [
     fhir:index 244;
     fhir:CodeSystem.concept.code [ fhir:value "MC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues" ]
  ], [
     fhir:index 245;
     fhir:CodeSystem.concept.code [ fhir:value "MD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances" ]
  ], [
     fhir:index 246;
     fhir:CodeSystem.concept.code [ fhir:value "ME" ];
     fhir:CodeSystem.concept.display [ fhir:value "The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional" ]
  ], [
     fhir:index 247;
     fhir:CodeSystem.concept.code [ fhir:value "MF" ];
     fhir:CodeSystem.concept.display [ fhir:value "The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional" ]
  ], [
     fhir:index 248;
     fhir:CodeSystem.concept.code [ fhir:value "MG" ];
     fhir:CodeSystem.concept.display [ fhir:value "The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional" ]
  ], [
     fhir:index 249;
     fhir:CodeSystem.concept.code [ fhir:value "MH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider" ]
  ], [
     fhir:index 250;
     fhir:CodeSystem.concept.code [ fhir:value "MS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty" ]
  ], [
     fhir:index 251;
     fhir:CodeSystem.concept.code [ fhir:value "NB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nebulizer system, any type, fda-cleared for use with specific drug" ]
  ], [
     fhir:index 252;
     fhir:CodeSystem.concept.code [ fhir:value "ND" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to site NEC" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to diagnostic or therapeutic site other than P or H" ]
  ], [
     fhir:index 253;
     fhir:CodeSystem.concept.code [ fhir:value "NE" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to RES facility" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to residential facility" ]
  ], [
     fhir:index 254;
     fhir:CodeSystem.concept.code [ fhir:value "NG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to hosp ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to a hospital-based ESRD facility" ]
  ], [
     fhir:index 255;
     fhir:CodeSystem.concept.code [ fhir:value "NH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to hosp|Ambulance from skilled nursing facility to hosp|Ambulance service from skilled nursing facility (SNF) to hospital" ]
  ], [
     fhir:index 256;
     fhir:CodeSystem.concept.code [ fhir:value "NI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to transf site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from SNF to AMB mode transfer site" ]
  ], [
     fhir:index 257;
     fhir:CodeSystem.concept.code [ fhir:value "NJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF-free stand ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to a free standing ESRD facility" ]
  ], [
     fhir:index 258;
     fhir:CodeSystem.concept.code [ fhir:value "NN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulance-SNF to SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to skilled nursing facility (SNF)" ]
  ], [
     fhir:index 259;
     fhir:CodeSystem.concept.code [ fhir:value "NP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to phys office" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to physician's office" ]
  ], [
     fhir:index 260;
     fhir:CodeSystem.concept.code [ fhir:value "NR" ];
     fhir:CodeSystem.concept.display [ fhir:value "New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)" ]
  ], [
     fhir:index 261;
     fhir:CodeSystem.concept.code [ fhir:value "NS" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to scene of accident or acute event" ]
  ], [
     fhir:index 262;
     fhir:CodeSystem.concept.code [ fhir:value "NU" ];
     fhir:CodeSystem.concept.display [ fhir:value "New equipment" ]
  ], [
     fhir:index 263;
     fhir:CodeSystem.concept.code [ fhir:value "NX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-SNF to hosp w OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from skilled nursing facility (SNF) to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 264;
     fhir:CodeSystem.concept.code [ fhir:value "P1" ];
     fhir:CodeSystem.concept.display [ fhir:value "A normal healthy patient" ]
  ], [
     fhir:index 265;
     fhir:CodeSystem.concept.code [ fhir:value "P2" ];
     fhir:CodeSystem.concept.display [ fhir:value "A patient with mild systemic disease" ]
  ], [
     fhir:index 266;
     fhir:CodeSystem.concept.code [ fhir:value "P3" ];
     fhir:CodeSystem.concept.display [ fhir:value "A patient with severe systemic disease" ]
  ], [
     fhir:index 267;
     fhir:CodeSystem.concept.code [ fhir:value "P4" ];
     fhir:CodeSystem.concept.display [ fhir:value "A patient with severe systemic disease that is a constant threat to life" ]
  ], [
     fhir:index 268;
     fhir:CodeSystem.concept.code [ fhir:value "P5" ];
     fhir:CodeSystem.concept.display [ fhir:value "A moribund patient who is not expected to survive without the operation" ]
  ], [
     fhir:index 269;
     fhir:CodeSystem.concept.code [ fhir:value "P6" ];
     fhir:CodeSystem.concept.display [ fhir:value "A declared brain-dead patient whose organs are being removed for donor purposes" ]
  ], [
     fhir:index 270;
     fhir:CodeSystem.concept.code [ fhir:value "PA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgical or other invasive procedure on wrong body part" ]
  ], [
     fhir:index 271;
     fhir:CodeSystem.concept.code [ fhir:value "PB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgical or other invasive procedure on wrong patient" ]
  ], [
     fhir:index 272;
     fhir:CodeSystem.concept.code [ fhir:value "PC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wrong surgery or other invasive procedure on patient" ]
  ], [
     fhir:index 273;
     fhir:CodeSystem.concept.code [ fhir:value "PD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days" ]
  ], [
     fhir:index 274;
     fhir:CodeSystem.concept.code [ fhir:value "PE" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-OV to RES fac" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to residential facility" ]
  ], [
     fhir:index 275;
     fhir:CodeSystem.concept.code [ fhir:value "PG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-OV to hosp ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to a hospital-based ESRD facility" ]
  ], [
     fhir:index 276;
     fhir:CodeSystem.concept.code [ fhir:value "PH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-phys office to hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to hospital" ]
  ], [
     fhir:index 277;
     fhir:CodeSystem.concept.code [ fhir:value "PI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing" ]
  ], [
     fhir:index 278;
     fhir:CodeSystem.concept.code [ fhir:value "PJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-OV to FS ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to free standing ESRD facility" ]
  ], [
     fhir:index 279;
     fhir:CodeSystem.concept.code [ fhir:value "PL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Progressive addition lenses" ]
  ], [
     fhir:index 280;
     fhir:CodeSystem.concept.code [ fhir:value "PM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Post mortem" ]
  ], [
     fhir:index 281;
     fhir:CodeSystem.concept.code [ fhir:value "PN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital" ]
  ], [
     fhir:index 282;
     fhir:CodeSystem.concept.code [ fhir:value "PO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Excepted service provided at an off-campus, outpatient, provider-based department of a hospital" ]
  ], [
     fhir:index 283;
     fhir:CodeSystem.concept.code [ fhir:value "PR" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-phys office to home" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to residence" ]
  ], [
     fhir:index 284;
     fhir:CodeSystem.concept.code [ fhir:value "PS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy" ]
  ], [
     fhir:index 285;
     fhir:CodeSystem.concept.code [ fhir:value "PT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Colorectal cancer screening test; converted to diagnostic test or other procedure" ]
  ], [
     fhir:index 286;
     fhir:CodeSystem.concept.code [ fhir:value "PX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-OV to hosp+OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from physician's office to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 287;
     fhir:CodeSystem.concept.code [ fhir:value "Q0" ];
     fhir:CodeSystem.concept.display [ fhir:value "Investigational clinical service provided in a clinical research study that is in an approved clinical research study" ]
  ], [
     fhir:index 288;
     fhir:CodeSystem.concept.code [ fhir:value "Q1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Routine clinical service provided in a clinical research study that is in an approved clinical research study" ]
  ], [
     fhir:index 289;
     fhir:CodeSystem.concept.code [ fhir:value "Q2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Demonstration procedure/service" ]
  ], [
     fhir:index 290;
     fhir:CodeSystem.concept.code [ fhir:value "Q3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Live kidney donor surgery and related services" ]
  ], [
     fhir:index 291;
     fhir:CodeSystem.concept.code [ fhir:value "Q4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service for ordering/referring physician qualifies as a service exemption" ]
  ], [
     fhir:index 292;
     fhir:CodeSystem.concept.code [ fhir:value "Q5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area" ]
  ], [
     fhir:index 293;
     fhir:CodeSystem.concept.code [ fhir:value "Q6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area" ]
  ], [
     fhir:index 294;
     fhir:CodeSystem.concept.code [ fhir:value "Q7" ];
     fhir:CodeSystem.concept.display [ fhir:value "One class a finding" ]
  ], [
     fhir:index 295;
     fhir:CodeSystem.concept.code [ fhir:value "Q8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Two class b findings" ]
  ], [
     fhir:index 296;
     fhir:CodeSystem.concept.code [ fhir:value "Q9" ];
     fhir:CodeSystem.concept.display [ fhir:value "One class b and two class c findings" ]
  ], [
     fhir:index 297;
     fhir:CodeSystem.concept.code [ fhir:value "QA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)" ]
  ], [
     fhir:index 298;
     fhir:CodeSystem.concept.code [ fhir:value "QB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed" ]
  ], [
     fhir:index 299;
     fhir:CodeSystem.concept.code [ fhir:value "QC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Single channel monitoring" ]
  ], [
     fhir:index 300;
     fhir:CodeSystem.concept.code [ fhir:value "QD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Recording and storage in solid state memory by a digital recorder" ]
  ], [
     fhir:index 301;
     fhir:CodeSystem.concept.code [ fhir:value "QE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)" ]
  ], [
     fhir:index 302;
     fhir:CodeSystem.concept.code [ fhir:value "QF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed" ]
  ], [
     fhir:index 303;
     fhir:CodeSystem.concept.code [ fhir:value "QG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)" ]
  ], [
     fhir:index 304;
     fhir:CodeSystem.concept.code [ fhir:value "QH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oxygen conserving device is being used with an oxygen delivery system" ]
  ], [
     fhir:index 305;
     fhir:CodeSystem.concept.code [ fhir:value "QJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)" ]
  ], [
     fhir:index 306;
     fhir:CodeSystem.concept.code [ fhir:value "QK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals" ]
  ], [
     fhir:index 307;
     fhir:CodeSystem.concept.code [ fhir:value "QL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Patient pronounced dead after ambulance called" ]
  ], [
     fhir:index 308;
     fhir:CodeSystem.concept.code [ fhir:value "QM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulance service provided under arrangement by a provider of services" ]
  ], [
     fhir:index 309;
     fhir:CodeSystem.concept.code [ fhir:value "QN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulance service furnished directly by a provider of services" ]
  ], [
     fhir:index 310;
     fhir:CodeSystem.concept.code [ fhir:value "QP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060." ]
  ], [
     fhir:index 311;
     fhir:CodeSystem.concept.code [ fhir:value "QQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional" ]
  ], [
     fhir:index 312;
     fhir:CodeSystem.concept.code [ fhir:value "QR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)" ]
  ], [
     fhir:index 313;
     fhir:CodeSystem.concept.code [ fhir:value "QS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Monitored anesthesia care service" ]
  ], [
     fhir:index 314;
     fhir:CodeSystem.concept.code [ fhir:value "QT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Recording and storage on tape by an analog tape recorder" ]
  ], [
     fhir:index 315;
     fhir:CodeSystem.concept.code [ fhir:value "QW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Clia waived test" ]
  ], [
     fhir:index 316;
     fhir:CodeSystem.concept.code [ fhir:value "QX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Crna service: with medical direction by a physician" ]
  ], [
     fhir:index 317;
     fhir:CodeSystem.concept.code [ fhir:value "QY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist" ]
  ], [
     fhir:index 318;
     fhir:CodeSystem.concept.code [ fhir:value "QZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Crna service: without medical direction by a physician" ]
  ], [
     fhir:index 319;
     fhir:CodeSystem.concept.code [ fhir:value "RA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Replacement of a dme, orthotic or prosthetic item" ]
  ], [
     fhir:index 320;
     fhir:CodeSystem.concept.code [ fhir:value "RB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair" ]
  ], [
     fhir:index 321;
     fhir:CodeSystem.concept.code [ fhir:value "RC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right coronary artery" ]
  ], [
     fhir:index 322;
     fhir:CodeSystem.concept.code [ fhir:value "RD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drug provided to beneficiary, but not administered incident-to" ]
  ], [
     fhir:index 323;
     fhir:CodeSystem.concept.code [ fhir:value "RE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)" ]
  ], [
     fhir:index 324;
     fhir:CodeSystem.concept.code [ fhir:value "RG" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to hosp ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to hospital-based ESRD facility" ]
  ], [
     fhir:index 325;
     fhir:CodeSystem.concept.code [ fhir:value "RH" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to hosp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to hospital" ]
  ], [
     fhir:index 326;
     fhir:CodeSystem.concept.code [ fhir:value "RI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ramus intermedius coronary artery" ]
  ], [
     fhir:index 327;
     fhir:CodeSystem.concept.code [ fhir:value "RJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home-free stand ESRD" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to free standing ESRD facility" ]
  ], [
     fhir:index 328;
     fhir:CodeSystem.concept.code [ fhir:value "RN" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to SNF" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to skilled nursing facility (SNF)" ]
  ], [
     fhir:index 329;
     fhir:CodeSystem.concept.code [ fhir:value "RP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to phys office" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to physician's office" ]
  ], [
     fhir:index 330;
     fhir:CodeSystem.concept.code [ fhir:value "RR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rental (use the 'rr' modifier when dme is to be rented)" ]
  ], [
     fhir:index 331;
     fhir:CodeSystem.concept.code [ fhir:value "RS" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to scene of accident or acute event" ]
  ], [
     fhir:index 332;
     fhir:CodeSystem.concept.code [ fhir:value "RT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right side (used to identify procedures performed on the right side of the body)" ]
  ], [
     fhir:index 333;
     fhir:CodeSystem.concept.code [ fhir:value "RX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-home to hosp w OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from residence to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 334;
     fhir:CodeSystem.concept.code [ fhir:value "SA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nurse practitioner rendering service in collaboration with a physician" ]
  ], [
     fhir:index 335;
     fhir:CodeSystem.concept.code [ fhir:value "SB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nurse midwife" ]
  ], [
     fhir:index 336;
     fhir:CodeSystem.concept.code [ fhir:value "SC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medically necessary service or supply" ]
  ], [
     fhir:index 337;
     fhir:CodeSystem.concept.code [ fhir:value "SD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided by registered nurse with specialized, highly technical home infusion training" ]
  ], [
     fhir:index 338;
     fhir:CodeSystem.concept.code [ fhir:value "SE" ];
     fhir:CodeSystem.concept.display [ fhir:value "State and/or federally-funded programs/services" ]
  ], [
     fhir:index 339;
     fhir:CodeSystem.concept.code [ fhir:value "SF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)" ]
  ], [
     fhir:index 340;
     fhir:CodeSystem.concept.code [ fhir:value "SG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory surgical center (asc) facility service" ]
  ], [
     fhir:index 341;
     fhir:CodeSystem.concept.code [ fhir:value "SH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Second concurrently administered infusion therapy" ]
  ], [
     fhir:index 342;
     fhir:CodeSystem.concept.code [ fhir:value "SI" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-accident to transf" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance from accident scene to AMB mode transfer site" ]
  ], [
     fhir:index 343;
     fhir:CodeSystem.concept.code [ fhir:value "SJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Third or more concurrently administered infusion therapy" ]
  ], [
     fhir:index 344;
     fhir:CodeSystem.concept.code [ fhir:value "SK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Member of high risk population (use only with codes for immunization)" ]
  ], [
     fhir:index 345;
     fhir:CodeSystem.concept.code [ fhir:value "SL" ];
     fhir:CodeSystem.concept.display [ fhir:value "State supplied vaccine" ]
  ], [
     fhir:index 346;
     fhir:CodeSystem.concept.code [ fhir:value "SM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Second surgical opinion" ]
  ], [
     fhir:index 347;
     fhir:CodeSystem.concept.code [ fhir:value "SN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Third surgical opinion" ]
  ], [
     fhir:index 348;
     fhir:CodeSystem.concept.code [ fhir:value "SP" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-accident to OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from scene of accident or acute event to physician's office" ]
  ], [
     fhir:index 349;
     fhir:CodeSystem.concept.code [ fhir:value "SQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Item ordered by home health" ]
  ], [
     fhir:index 350;
     fhir:CodeSystem.concept.code [ fhir:value "SR" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-accident to home" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from scene of accident or acute event to residence" ]
  ], [
     fhir:index 351;
     fhir:CodeSystem.concept.code [ fhir:value "SS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Home infusion services provided in the infusion suite of the iv therapy provider" ]
  ], [
     fhir:index 352;
     fhir:CodeSystem.concept.code [ fhir:value "ST" ];
     fhir:CodeSystem.concept.display [ fhir:value "Related to trauma or injury" ]
  ], [
     fhir:index 353;
     fhir:CodeSystem.concept.code [ fhir:value "SU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Procedure performed in physician's office (to denote use of facility and equipment)" ]
  ], [
     fhir:index 354;
     fhir:CodeSystem.concept.code [ fhir:value "SV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pharmaceuticals delivered to patient's home but not utilized" ]
  ], [
     fhir:index 355;
     fhir:CodeSystem.concept.code [ fhir:value "SW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided by a certified diabetic educator" ]
  ], [
     fhir:index 356;
     fhir:CodeSystem.concept.code [ fhir:value "SX" ];
     fhir:CodeSystem.concept.display [ fhir:value "AMB-accident to hosp+OV" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance service from scene of accident or acute event to hospital with intermediate stop at physician's office" ]
  ], [
     fhir:index 357;
     fhir:CodeSystem.concept.code [ fhir:value "SY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Persons who are in close contact with member of high-risk population (use only with codes for immunization)" ]
  ], [
     fhir:index 358;
     fhir:CodeSystem.concept.code [ fhir:value "SZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Habilitative services" ]
  ], [
     fhir:index 359;
     fhir:CodeSystem.concept.code [ fhir:value "T1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left foot, second digit" ]
  ], [
     fhir:index 360;
     fhir:CodeSystem.concept.code [ fhir:value "T2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left foot, third digit" ]
  ], [
     fhir:index 361;
     fhir:CodeSystem.concept.code [ fhir:value "T3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left foot, fourth digit" ]
  ], [
     fhir:index 362;
     fhir:CodeSystem.concept.code [ fhir:value "T4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left foot, fifth digit" ]
  ], [
     fhir:index 363;
     fhir:CodeSystem.concept.code [ fhir:value "T5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right foot, great toe" ]
  ], [
     fhir:index 364;
     fhir:CodeSystem.concept.code [ fhir:value "T6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right foot, second digit" ]
  ], [
     fhir:index 365;
     fhir:CodeSystem.concept.code [ fhir:value "T7" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right foot, third digit" ]
  ], [
     fhir:index 366;
     fhir:CodeSystem.concept.code [ fhir:value "T8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right foot, fourth digit" ]
  ], [
     fhir:index 367;
     fhir:CodeSystem.concept.code [ fhir:value "T9" ];
     fhir:CodeSystem.concept.display [ fhir:value "Right foot, fifth digit" ]
  ], [
     fhir:index 368;
     fhir:CodeSystem.concept.code [ fhir:value "TA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Left foot, great toe" ]
  ], [
     fhir:index 369;
     fhir:CodeSystem.concept.code [ fhir:value "TB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes" ]
  ], [
     fhir:index 370;
     fhir:CodeSystem.concept.code [ fhir:value "TC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles" ]
  ], [
     fhir:index 371;
     fhir:CodeSystem.concept.code [ fhir:value "TD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rn" ]
  ], [
     fhir:index 372;
     fhir:CodeSystem.concept.code [ fhir:value "TE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lpn/lvn" ]
  ], [
     fhir:index 373;
     fhir:CodeSystem.concept.code [ fhir:value "TF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Intermediate level of care" ]
  ], [
     fhir:index 374;
     fhir:CodeSystem.concept.code [ fhir:value "TG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Complex/high tech level of care" ]
  ], [
     fhir:index 375;
     fhir:CodeSystem.concept.code [ fhir:value "TH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Obstetrical treatment/services, prenatal or postpartum" ]
  ], [
     fhir:index 376;
     fhir:CodeSystem.concept.code [ fhir:value "TJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Program group, child and/or adolescent" ]
  ], [
     fhir:index 377;
     fhir:CodeSystem.concept.code [ fhir:value "TK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Extra patient or passenger, non-ambulance" ]
  ], [
     fhir:index 378;
     fhir:CodeSystem.concept.code [ fhir:value "TL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Early intervention/individualized family service plan (ifsp)" ]
  ], [
     fhir:index 379;
     fhir:CodeSystem.concept.code [ fhir:value "TM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Individualized education program (iep)" ]
  ], [
     fhir:index 380;
     fhir:CodeSystem.concept.code [ fhir:value "TN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rural/outside providers' customary service area" ]
  ], [
     fhir:index 381;
     fhir:CodeSystem.concept.code [ fhir:value "TP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical transport, unloaded vehicle" ]
  ], [
     fhir:index 382;
     fhir:CodeSystem.concept.code [ fhir:value "TQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Basic life support transport by a volunteer ambulance provider" ]
  ], [
     fhir:index 383;
     fhir:CodeSystem.concept.code [ fhir:value "TR" ];
     fhir:CodeSystem.concept.display [ fhir:value "School-based individualized education program (iep) services provided outside the public school district responsible for the student" ]
  ], [
     fhir:index 384;
     fhir:CodeSystem.concept.code [ fhir:value "TS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Follow-up service" ]
  ], [
     fhir:index 385;
     fhir:CodeSystem.concept.code [ fhir:value "TT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Individualized service provided to more than one patient in same setting" ]
  ], [
     fhir:index 386;
     fhir:CodeSystem.concept.code [ fhir:value "TU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Special payment rate, overtime" ]
  ], [
     fhir:index 387;
     fhir:CodeSystem.concept.code [ fhir:value "TV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Special payment rates, holidays/weekends" ]
  ], [
     fhir:index 388;
     fhir:CodeSystem.concept.code [ fhir:value "TW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Back-up equipment" ]
  ], [
     fhir:index 389;
     fhir:CodeSystem.concept.code [ fhir:value "U1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 1, as defined by each state" ]
  ], [
     fhir:index 390;
     fhir:CodeSystem.concept.code [ fhir:value "U2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 2, as defined by each state" ]
  ], [
     fhir:index 391;
     fhir:CodeSystem.concept.code [ fhir:value "U3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 3, as defined by each state" ]
  ], [
     fhir:index 392;
     fhir:CodeSystem.concept.code [ fhir:value "U4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 4, as defined by each state" ]
  ], [
     fhir:index 393;
     fhir:CodeSystem.concept.code [ fhir:value "U5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 5, as defined by each state" ]
  ], [
     fhir:index 394;
     fhir:CodeSystem.concept.code [ fhir:value "U6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 6, as defined by each state" ]
  ], [
     fhir:index 395;
     fhir:CodeSystem.concept.code [ fhir:value "U7" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 7, as defined by each state" ]
  ], [
     fhir:index 396;
     fhir:CodeSystem.concept.code [ fhir:value "U8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 8, as defined by each state" ]
  ], [
     fhir:index 397;
     fhir:CodeSystem.concept.code [ fhir:value "U9" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 9, as defined by each state" ]
  ], [
     fhir:index 398;
     fhir:CodeSystem.concept.code [ fhir:value "UA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 10, as defined by each state" ]
  ], [
     fhir:index 399;
     fhir:CodeSystem.concept.code [ fhir:value "UB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 11, as defined by each state" ]
  ], [
     fhir:index 400;
     fhir:CodeSystem.concept.code [ fhir:value "UC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 12, as defined by each state" ]
  ], [
     fhir:index 401;
     fhir:CodeSystem.concept.code [ fhir:value "UD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid level of care 13, as defined by each state" ]
  ], [
     fhir:index 402;
     fhir:CodeSystem.concept.code [ fhir:value "UE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Used durable medical equipment" ]
  ], [
     fhir:index 403;
     fhir:CodeSystem.concept.code [ fhir:value "UF" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided in the morning" ]
  ], [
     fhir:index 404;
     fhir:CodeSystem.concept.code [ fhir:value "UG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided in the afternoon" ]
  ], [
     fhir:index 405;
     fhir:CodeSystem.concept.code [ fhir:value "UH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided in the evening" ]
  ], [
     fhir:index 406;
     fhir:CodeSystem.concept.code [ fhir:value "UJ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided at night" ]
  ], [
     fhir:index 407;
     fhir:CodeSystem.concept.code [ fhir:value "UK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Services provided on behalf of the client to someone other than the client (collateral relationship)" ]
  ], [
     fhir:index 408;
     fhir:CodeSystem.concept.code [ fhir:value "UN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Two patients served" ]
  ], [
     fhir:index 409;
     fhir:CodeSystem.concept.code [ fhir:value "UP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Three patients served" ]
  ], [
     fhir:index 410;
     fhir:CodeSystem.concept.code [ fhir:value "UQ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Four patients served" ]
  ], [
     fhir:index 411;
     fhir:CodeSystem.concept.code [ fhir:value "UR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Five patients served" ]
  ], [
     fhir:index 412;
     fhir:CodeSystem.concept.code [ fhir:value "US" ];
     fhir:CodeSystem.concept.display [ fhir:value "Six or more patients served" ]
  ], [
     fhir:index 413;
     fhir:CodeSystem.concept.code [ fhir:value "V1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Demonstration modifier 1" ]
  ], [
     fhir:index 414;
     fhir:CodeSystem.concept.code [ fhir:value "V2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Demonstration modifier 2" ]
  ], [
     fhir:index 415;
     fhir:CodeSystem.concept.code [ fhir:value "V3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Demonstration modifier 3" ]
  ], [
     fhir:index 416;
     fhir:CodeSystem.concept.code [ fhir:value "V5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vascular catheter (alone or with any other vascular access)" ]
  ], [
     fhir:index 417;
     fhir:CodeSystem.concept.code [ fhir:value "V6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arteriovenous graft (or other vascular access not including a vascular catheter)" ]
  ], [
     fhir:index 418;
     fhir:CodeSystem.concept.code [ fhir:value "V7" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arteriovenous fistula only (in use with two needles)" ]
  ], [
     fhir:index 419;
     fhir:CodeSystem.concept.code [ fhir:value "V8" ];
     fhir:CodeSystem.concept.display [ fhir:value "Infection present" ]
  ], [
     fhir:index 420;
     fhir:CodeSystem.concept.code [ fhir:value "V9" ];
     fhir:CodeSystem.concept.display [ fhir:value "No infection present" ]
  ], [
     fhir:index 421;
     fhir:CodeSystem.concept.code [ fhir:value "VM" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medicare diabetes prevention program (mdpp) virtual make-up session" ]
  ], [
     fhir:index 422;
     fhir:CodeSystem.concept.code [ fhir:value "VP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Aphakic patient" ]
  ], [
     fhir:index 423;
     fhir:CodeSystem.concept.code [ fhir:value "X1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care" ]
  ], [
     fhir:index 424;
     fhir:CodeSystem.concept.code [ fhir:value "X2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services" ]
  ], [
     fhir:index 425;
     fhir:CodeSystem.concept.code [ fhir:value "X3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital" ]
  ], [
     fhir:index 426;
     fhir:CodeSystem.concept.code [ fhir:value "X4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period" ]
  ], [
     fhir:index 427;
     fhir:CodeSystem.concept.code [ fhir:value "X5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician" ]
  ], [
     fhir:index 428;
     fhir:CodeSystem.concept.code [ fhir:value "XE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Separate encounter, a service that is distinct because it occurred during a separate encounter" ]
  ], [
     fhir:index 429;
     fhir:CodeSystem.concept.code [ fhir:value "XP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Separate practitioner, a service that is distinct because it was performed by a different practitioner" ]
  ], [
     fhir:index 430;
     fhir:CodeSystem.concept.code [ fhir:value "XS" ];
     fhir:CodeSystem.concept.display [ fhir:value "Separate structure, a service that is distinct because it was performed on a separate organ/structure" ]
  ], [
     fhir:index 431;
     fhir:CodeSystem.concept.code [ fhir:value "XU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service" ]
  ], [
     fhir:index 432;
     fhir:CodeSystem.concept.code [ fhir:value "ZA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Novartis/sandoz" ]
  ], [
     fhir:index 433;
     fhir:CodeSystem.concept.code [ fhir:value "ZB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pfizer/hospira" ]
  ], [
     fhir:index 434;
     fhir:CodeSystem.concept.code [ fhir:value "ZC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Merck/samsung bioepis" ]
  ], [
     fhir:index 435;
     fhir:CodeSystem.concept.code [ fhir:value "22" ];
     fhir:CodeSystem.concept.display [ fhir:value "Increased procedural svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Increased procedural services" ]
  ], [
     fhir:index 436;
     fhir:CodeSystem.concept.code [ fhir:value "23" ];
     fhir:CodeSystem.concept.display [ fhir:value "Unusual anesthesia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Unusual anesthesia" ]
  ], [
     fhir:index 437;
     fhir:CodeSystem.concept.code [ fhir:value "24" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oth E/M-same phys postop" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Unrelated Evaluation and Management Service by the Same physician During a Postoperative Period" ]
  ], [
     fhir:index 438;
     fhir:CodeSystem.concept.code [ fhir:value "25" ];
     fhir:CodeSystem.concept.display [ fhir:value "SignificantE/M same phys/px" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Significant E/M-same physician day of procedure/service" ]
  ], [
     fhir:index 439;
     fhir:CodeSystem.concept.code [ fhir:value "26" ];
     fhir:CodeSystem.concept.display [ fhir:value "Professional component" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Professional component" ]
  ], [
     fhir:index 440;
     fhir:CodeSystem.concept.code [ fhir:value "27" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mult outpt E/M same date" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Multiple Outpatient Hospital E/M Encounters on the Same Date" ]
  ], [
     fhir:index 441;
     fhir:CodeSystem.concept.code [ fhir:value "32" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mandated services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Mandated services" ]
  ], [
     fhir:index 442;
     fhir:CodeSystem.concept.code [ fhir:value "33" ];
     fhir:CodeSystem.concept.display [ fhir:value "Preventive services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Preventive services" ]
  ], [
     fhir:index 443;
     fhir:CodeSystem.concept.code [ fhir:value "47" ];
     fhir:CodeSystem.concept.display [ fhir:value "Anesthesia by surgeon" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Anesthesia by surgeon" ]
  ], [
     fhir:index 444;
     fhir:CodeSystem.concept.code [ fhir:value "50" ];
     fhir:CodeSystem.concept.display [ fhir:value "Bilateral procedure" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Bilateral procedure" ]
  ], [
     fhir:index 445;
     fhir:CodeSystem.concept.code [ fhir:value "51" ];
     fhir:CodeSystem.concept.display [ fhir:value "Multiple procedures" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Multiple procedures" ]
  ], [
     fhir:index 446;
     fhir:CodeSystem.concept.code [ fhir:value "52" ];
     fhir:CodeSystem.concept.display [ fhir:value "Reduced services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Reduced services" ]
  ], [
     fhir:index 447;
     fhir:CodeSystem.concept.code [ fhir:value "53" ];
     fhir:CodeSystem.concept.display [ fhir:value "Discontinued procedure" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Discontinued procedure" ]
  ], [
     fhir:index 448;
     fhir:CodeSystem.concept.code [ fhir:value "54" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgical care only" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Surgical care only" ]
  ], [
     fhir:index 449;
     fhir:CodeSystem.concept.code [ fhir:value "55" ];
     fhir:CodeSystem.concept.display [ fhir:value "Postoperative management only" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Postoperative management only" ]
  ], [
     fhir:index 450;
     fhir:CodeSystem.concept.code [ fhir:value "56" ];
     fhir:CodeSystem.concept.display [ fhir:value "Preoperative management only" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Preoperative management only" ]
  ], [
     fhir:index 451;
     fhir:CodeSystem.concept.code [ fhir:value "57" ];
     fhir:CodeSystem.concept.display [ fhir:value "Decision for surgery" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Decision for surgery" ]
  ], [
     fhir:index 452;
     fhir:CodeSystem.concept.code [ fhir:value "58" ];
     fhir:CodeSystem.concept.display [ fhir:value "Stg/rel px by same phys" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Staged or Related Procedure or Service by the Same Physician During the Postoperative Period" ]
  ], [
     fhir:index 453;
     fhir:CodeSystem.concept.code [ fhir:value "59" ];
     fhir:CodeSystem.concept.display [ fhir:value "Distinct procedural svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Distinct procedural service" ]
  ], [
     fhir:index 454;
     fhir:CodeSystem.concept.code [ fhir:value "62" ];
     fhir:CodeSystem.concept.display [ fhir:value "Two surgeons" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Two surgeons" ]
  ], [
     fhir:index 455;
     fhir:CodeSystem.concept.code [ fhir:value "63" ];
     fhir:CodeSystem.concept.display [ fhir:value "Px on infants <4 kg" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Procedure performed on insants less than 4 kg" ]
  ], [
     fhir:index 456;
     fhir:CodeSystem.concept.code [ fhir:value "66" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgical team" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Surgical team" ]
  ], [
     fhir:index 457;
     fhir:CodeSystem.concept.code [ fhir:value "73" ];
     fhir:CodeSystem.concept.display [ fhir:value "D/C OP/ASC px prior anes" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Discontinued outpatient/ASC procedure prior to administration of anesthesia" ]
  ], [
     fhir:index 458;
     fhir:CodeSystem.concept.code [ fhir:value "74" ];
     fhir:CodeSystem.concept.display [ fhir:value "D/C OP/ASC px after anes" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Discontinued outpatient/ASC procedure after administration of anesthesia" ]
  ], [
     fhir:index 459;
     fhir:CodeSystem.concept.code [ fhir:value "76" ];
     fhir:CodeSystem.concept.display [ fhir:value "Repeat px-same phys/HCP" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional" ]
  ], [
     fhir:index 460;
     fhir:CodeSystem.concept.code [ fhir:value "77" ];
     fhir:CodeSystem.concept.display [ fhir:value "Repeat px-another phys/HCP" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Repeat procedure, different provider" ]
  ], [
     fhir:index 461;
     fhir:CodeSystem.concept.code [ fhir:value "78" ];
     fhir:CodeSystem.concept.display [ fhir:value "Unplan return OR-rel px" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Unplanned return to operating room during postoperative care, related procedure by the same provider" ]
  ], [
     fhir:index 462;
     fhir:CodeSystem.concept.code [ fhir:value "79" ];
     fhir:CodeSystem.concept.display [ fhir:value "Px postop-same phys" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Unrelated Procedure or Service by the Same Physician During the Postoperative Period" ]
  ], [
     fhir:index 463;
     fhir:CodeSystem.concept.code [ fhir:value "80" ];
     fhir:CodeSystem.concept.display [ fhir:value "Assistant surgeon" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Assistant surgeon" ]
  ], [
     fhir:index 464;
     fhir:CodeSystem.concept.code [ fhir:value "81" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minimum asst surgeon" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minimum assistant surgeon" ]
  ], [
     fhir:index 465;
     fhir:CodeSystem.concept.code [ fhir:value "82" ];
     fhir:CodeSystem.concept.display [ fhir:value "Asst surgeon-no resident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Assistant Surgeon (when qualified resident surgeon not available)" ]
  ], [
     fhir:index 466;
     fhir:CodeSystem.concept.code [ fhir:value "90" ];
     fhir:CodeSystem.concept.display [ fhir:value "Reference (outside) lab" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Reference (outside) laboratory" ]
  ], [
     fhir:index 467;
     fhir:CodeSystem.concept.code [ fhir:value "91" ];
     fhir:CodeSystem.concept.display [ fhir:value "Repeat dxtic lab test" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Repeat clinical diagnostic laboratory test" ]
  ], [
     fhir:index 468;
     fhir:CodeSystem.concept.code [ fhir:value "92" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alt lab platform testing" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Alternative laboratory platform testing" ]
  ], [
     fhir:index 469;
     fhir:CodeSystem.concept.code [ fhir:value "95" ];
     fhir:CodeSystem.concept.display [ fhir:value "Synch telemedicine svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system" ]
  ], [
     fhir:index 470;
     fhir:CodeSystem.concept.code [ fhir:value "96" ];
     fhir:CodeSystem.concept.display [ fhir:value "Habilitative Services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Habilitative Services" ]
  ], [
     fhir:index 471;
     fhir:CodeSystem.concept.code [ fhir:value "97" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rehabilitative Services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Rehabilitative Services" ]
  ], [
     fhir:index 472;
     fhir:CodeSystem.concept.code [ fhir:value "99" ];
     fhir:CodeSystem.concept.display [ fhir:value "Multiple modifiers" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Multiple modifiers" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.