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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Modifier I 36 February 20, 2013 Maryland
Modifier I 36 September 13, 2013 Maryland
Modifier I 36 January 9, 2014 Maryland
Data Element: Modifier I 36 - February 20, 2013
(Maryland)
Modifier I 36 - September 13, 2013
(Maryland)
Modifier I 36 - January 9, 2014
(Maryland)
[Shared]Data Element ID 36 36 36
[Unshared]Definition Discriminate code used by practitioners to distinguish that a health care service has been altered [by a specific condition] but not changed in definition or code. A Modifier is added as a suffix to a Procedure Code field. Discriminate code used by practitioners to distinguish that a health care service has been altered [by a specific condition] but not changed in definition or code. A modifier is added as a suffix to a procedure code field. Discriminate code used by practitioners to distinguish that a health care service has been altered [by a specific condition] but not changed in definition or code. A modifier is added as a suffix to a procedure code field.
[Shared] State / Source Maryland
Maryland
Maryland
[Shared]Data Type alphanumeric alphanumeric alphanumeric
[Shared]Length 2 2 2
[Unshared]COMAR 10.25.06.06.D.(35) Not Supplied Not Supplied
[Unshared]End 175 205 205
[Unshared]Field Contents MHCC accepts national standard Modifiers approved by the American Medical Association as published in the 2008 Current Procedure Terminology. Modifiers approved for Hospital Outpatient use: Level I (CPT) and Level II (HCPCS/National) Modifiers. Nurse Anesthetist services are to be reported using the following Level II (HCPCS) Modifiers: o QX - Nurse Anesthetist service; under supervision of a doctor o QZ - Nurse Anesthetist service; w/o the supervision of a doctor MHCC accepts national standard modifiers approved by the American Medical Association as published in the 2008 Current Procedure Terminology. Modifiers approved for Hospital Outpatient use: Level I (CPT) and Level II (HCPCS/National) modifiers. Nurse Anesthetist services are to be reported using the following Level II (HCPCS) modifiers: o QX - Nurse Anesthetist service; under supervision of a doctor o QZ-Nurse Anesthetist service; w/o the supervision of a doctor MHCC accepts national standard modifiers approved by the American Medical Association as published in the 2008 Current Procedure Terminology. Modifiers approved for Hospital Outpatient use: Level I (CPT) and Level II (HCPCS/National) modifiers. Nurse Anesthetist services are to be reported using the following Level II (HCPCS) modifiers: - QX - Nurse Anesthetist service; under supervision of a doctor - QZ - Nurse Anesthetist service; w/o the supervision of a doctor
[Unshared]Start 174 204 204
Data Element: Modifier I 36 - February 20, 2013
(Maryland)
Modifier I 36 - September 13, 2013
(Maryland)
Modifier I 36 - January 9, 2014
(Maryland)
[Shared]QX Nurse Anesthetist service; under supervision of a doctor Nurse Anesthetist service; under supervision of a doctor Nurse Anesthetist service; under supervision of a doctor
[Shared]QZ Nurse Anesthetist service; w/o the supervision of a doctor Nurse Anesthetist service; w/o the supervision of a doctor Nurse Anesthetist service; w/o the supervision of a doctor
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