Entity Procedure Modifier

DescriptionA 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 CodeModifier Edit Code
Procedure Code Modifier TxtProcedure Code Modifier Txt
Procedure ModifierProcedure Modifier
Procedure Modifier SeqProcedure Modifier Seq

Relationship
Procedure Modifier_Procedure_FKProcedure Modifier_Procedure_FK

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 Modifier Edit Code
DescriptionCalculated edits of the modifiers for each line or HCPCS/CPT. If no modifier code exists, use the code ā€œUā€ (modifier edit code unknown) as a placeholder.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Code Modifier Txt
DescriptionIdentifies additional information recorded about the procedure, as defined by CMS and the AMA.
Data TypeStandards - Data Domains.ddm/Data Domains/Free Text [VARCHAR(1024)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Modifier
DescriptionIdentifies 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 TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Modifier Seq
DescriptionIndicates the sequence number of the procedure modifier when multiple modifiers apply to the same procedure.
Data TypeStandards - Data Domains.ddm/Data Domains/Sequence Number [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Procedure Modifier_Procedure_FK
Is Identifying Relationshiptrue
Child TableProcedure Modifier
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableProcedure
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE