Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

HCPCS Modifier Code 3

HCPCS_3_MDFR_CD

(1) EFFECTIVE WITH NCH VERSION I, A THIRD MODIFIER TO THE PROCEDURE CODE TO MAKE IT MORE SPECIFIC THAN THE SECOND MODIFIER CODE TO IDENTIFY THE PROCEDURES PERFORMED ON THE BENEFICIARY FOR THE CLAIM. [NCH] (2) PRIOR TO NCH VERSION H THIS FIELD WAS NAMED: HCPCS_3RD_MDFR_CD. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.modifier[2].coding.code
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE
Source Column
HCPCS_3_MDFR_CD
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Basis
  • Regular
  • CMS

Mappings

CCLF
  • CCLF2.HCPCS_3_MDFR_CD
  • CCLF5.HCPCS_3_MDFR_CD
CCW
  • HCPCS_3RD_MDFR_CD
Looking for U.S. government information and services?
Visit USA.gov