<< Previous Data Element Outpatient Output Table of Contents Next Data Element >>

Data Element Name:   Procedure Code - CPT4/HCPCS - Modifier 1
SPARCS Data Element Number:  43
Record Positions:  See Group Definition Format-Length:  A/N - 2
Effective Date:  1/1/2003 Revision Date:  January 2003

Definition:

The American Medical Associations modifier for Current Procedural Terminology 4th Edition (CPT4) Code which applies to the outpatient procedure performed.

Codes and Values:
  1. Entered exactly as shown in the American Medical Association's Current Procedural Terminology - 4th Edition (CPT4) or the Centers for Medicare and Medicaid Services HCPCS code for outpatient procedure modifiers for the associated procedure code.

  2. If this field was not applicable it contains blanks.
Edit Applications:
  1. Must be a valid entry.