Fee Navigator

    Modifier: AGE

    AGE

    Identifies specific services which are payable at different rates depending upon the age of the patient.

    Codes:

    Code:Description:
    G2
    OVER 2 YEARS

    The patient is 2 years of age or older.

    G65
    OVER 65 YEARS

    The patient is 65 years of age or older.

    G75
    OVER 75 YEARS

    The patient is 75 years of age or older

    G75GP
    OVER 75 YEARS

    The patient is 75 years of age or older. This modifier allows physicians with the skill of GP to be paid for HSC 03.03A at 20% above the GP rate.

    L1
    UNDER 1 YEAR

    The patient is 12 months of age or younger.

    L10
    UNDER 10 YEARS

    The patient has not reached their 10th birthday.

    L11
    UNDER 11 YEARS

    The patient has not reached their 11th birthday.

    L13
    UNDER 13 YEARS

    The patient has not reached their 13th birthday.

    L30
    UNDER 30 DAYS,ROLE OF SURGEON

    The patient is 30 days of age or younger. Applies only to cardiovascular and thoracic surgery.

    L4
    UNDER 4 YEARS

    The patient has not reached their 4th birthday.