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HCPCS Modifier Code 1

HCPCS_1_MDFR_CD

(1) A FIRST MODIFIER TO THE PROCEDURE CODE TO ENABLE A MORE SPECIFIC PROCEDURE IDENTIFICATION FOR THE CLAIM [NCH] (2) A FIRST MODIFIER TO THE HCPCS PROCEDURE CODE TO ENABLE A MORE SPECIFIC PROCEDURE IDENTIFICATION FOR THE LINE ITEM SERVICE ON THE NONINSTITUTIONAL CLAIM. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.modifier[0].coding.code
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE
Source Column
HCPCS_1_MDFR_CD
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Basis
  • Regular
  • CMS

Example

A2

Mappings

CCLF
  • CCLF2.HCPCS_1_MDFR_CD
  • CCLF5.HCPCS_1_MDFR_CD
CCW
  • HCPCS_1ST_MDFR_CD
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