HCPCS Modifier Code 4
HCPCS_4_MDFR_CD (1) EFFECTIVE WITH VERSION I, A FOURTH MODIFIER TO THE PROCEDURE CODE TO MAKE IT MORE SPECIFIC THAN THE THIRD MODIFIER CODE TO IDENTIFY THE PROCEDURES PERFORMED ON THE BENEFICIARY FOR THE CLAIM. [NCH] (2) PRIOR TO VERSION H THIS FIELD WAS NAMED: HCPCS_4TH_MDFR_CD. [NCH]
Field Metadata
- FHIR Resource
- ExplanationOfBenefit
- FHIRPath
- ExplanationOfBenefit.item.modifier[3].coding.code
- Coverage / Claim Type
-
- Carrier
- DME
- HHA
- Hospice
- Inpatient
- Outpatient
- SNF
- Source View
-
V2_MDCR_CLM_LINE - Source Column
-
HCPCS_4_MDFR_CD - Sources
-
- FISS
- MCS
- NCH
- VMS
- Profiles
-
- Basis
- Regular
- CMS
Mappings
- CCLF
-
-
CCLF2.HCPCS_4_MDFR_CD -
CCLF5.HCPCS_4_MDFR_CD
-
- CCW
-
-
HCPCS_4TH_MDFR_CD
-