| Business Data Model Data Model |
| Description | A codified term that augments the description of the procedure without the need to change the procedure code itself or its definition. For example: If the procedure is ear lavage, the modifier may indicate "left" ear lavage. |
| Attributes | |
Modifier Edit Code |
|
Procedure Code Modifier Txt |
|
Procedure Modifier |
|
Procedure Modifier Seq |
|
| Relationship | |
Procedure Modifier_Procedure_FK |
|
| Dependencies | |
NONE |
|
| Reverse Dependencies | |
|
|
| Attribute Details |
Modifier Edit Code
| Description | Calculated edits of the modifiers for each line or HCPCS/CPT. If no modifier code exists, use the code āUā (modifier edit code unknown) as a placeholder. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Procedure Code Modifier Txt
| Description | Identifies additional information recorded about the procedure, as defined by CMS and the AMA. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Free Text [VARCHAR(1024)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Procedure Modifier
| Description | Identifies a change to the use or meaning of a procedure code when applicable in a specific procedure. Procedure code modifiers are defined by regulatory agencies such as Centers for Medicare & Medicaid Services (CMS) and the AMA. Multiple modifiers may be reported. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Procedure Modifier Seq
| Description | Indicates the sequence number of the procedure modifier when multiple modifiers apply to the same procedure. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Sequence Number [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Procedure Modifier_Procedure_FK
| Is Identifying Relationship | true |
| Child Table | Procedure Modifier |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Procedure |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |