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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Procedure Modifier - 1 MC056 December 1, 2010 - v2.1 Massachusetts
Procedure Modifier - 1 MC056 June 7, 2013 - v3.1 Massachusetts
Procedure Modifier - 1 MC056 October 1, 2014 - v4.0 Massachusetts
Data Element: Procedure Modifier - 1 MC056 - December 1, 2010 - v2.1
(Massachusetts)
Procedure Modifier - 1 MC056 - June 7, 2013 - v3.1
(Massachusetts)
Procedure Modifier - 1 MC056 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID MC056 MC056 MC056
[Shared]Definition HCPCS / CPT Code Modifier HCPCS / CPT Code Modifier HCPCS / CPT Code Modifier
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text External Code Source 9 - Text External Code Source 9 - Text
[Unshared]Data Type Description Line CPT External Code Source 9 - Modifiers External Code Source 9 - Modifiers
[Unshared]Format External Code Source 7 char[2] char[2]
[Shared]Length 2 2 2
[Shared]Column 57 57 57
[Shared]Threshold 0 0 0
[Unshared]Encrypted No
[Unshared]Required All
[Unshared]APCD - GIC Carrier Threshold 0 Not Supplied Not Supplied
[Unshared]Cat Not Supplied B B
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Procedure modifier required when a modifier clarifies/improves the reporting accuracy of the associated procedure code. Report a valid Procedure modifier when a modifier clarifies / improves the reporting accuracy of the associated procedure code (MC055). Report a valid Procedure modifier when a modifier clarifies / improves the reporting accuracy of the associated procedure code (MC055).
[Shared]File MC MC MC
[Unshared]Old Length 2 Not Supplied Not Supplied
Data Element: Procedure Modifier - 1 MC056 - December 1, 2010 - v2.1
(Massachusetts)
Procedure Modifier - 1 MC056 - June 7, 2013 - v3.1
(Massachusetts)
Procedure Modifier - 1 MC056 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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