United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Procedure Modifier - 4 MC057B February 2014 - v1.1 Rhode Island
Procedure Modifier - 4 MC057B June 2014 - v1.3 Rhode Island
Data Element: Procedure Modifier - 4 MC057B - February 2014 - v1.1
(Rhode Island)
Procedure Modifier - 4 MC057B - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC057B MC057B
[Shared]Definition Use this field to report the fourth modifier indicating that a service or procedure has been altered by some specific circumstance but has not been changed in its definition or code. Use this field to report the fourth modifier indicating that a service or procedure has been altered by some specific circumstance but has not been changed in its definition or code.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 2 2
[Shared]Column 66 66
[Shared]Threshold 0% 0%
[Shared]Denominator All All
[Shared]CMS 1500 REF 24.D 24.D
[Shared]HASHED? N N
[Shared]UB-04 REF 44 44
[Shared]X12 REF 835/2110/SVC/HC/01-6 835/2110/SVC/HC/01-6
Data Element: Procedure Modifier - 4 MC057B - February 2014 - v1.1
(Rhode Island)
Procedure Modifier - 4 MC057B - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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