Fee Navigator^®

Modifier: LMTS

LIMITS

This modifier is used to override restrictions for a service/procedure.

Codes:

Code:	Description:
DSCH	DISCHARGED Explicit As stated in GR 5.1.4, indicates payment for a patient who was discharged from an emergency department, AACC or UCC and returned the same day.
L40	UNDER 40 WEEKS CONCEPTUAL AGE, ROLE OF SURGEON Explicit Infants under 40 weeks of conceptual age. Applies only to specific general surgery procedures.
L40ANE	UNDER 40 WEEKS CONCEPTUAL AGE, ROLE OF ANESTHETIST Explicit Infants under 40 weeks of conceptual age. Applies only to specific anesthetic services. May also be claimed in addition to the time based anesthetic modifiers (ANEST/2ANES).
L44	UNDER 44 WEEKS CONCEPTUAL AGE, ROLE OF SURGEON Explicit Infants under 44 weeks of conceptual age. Applies only to cardiovascular and thoracic surgery.
L44ANE	UNDER 44 WEEKS CONCEPTUAL AGE, ROLE OF ANESTHETIST Explicit Infants under 44 weeks of conceptual age. Applies only to specific anesthetic services. May also be claimed in addition to the time based anesthetic modifiers (ANEST/2ANES). Cl as s i f i c at i on: Publ i
NEWCON	NEW CONDITION FOR OPTOMETRY Explicit Indicates an Optometrist is providing optometric services to an eligible resident for a new condition whose diagnostic code contains the same first three-digit root as a condition previously billed in the same benefit year.
NEWEP	NEW EPISODE FOR OPTOMETRY Explicit Indicates an Optometrist is providing optometric services to an eligible resident for a condition that was previously billed, but the resident incurred a new occurrence of the condition in the same benefit year.
OPHTCO	OPHTHALMOLOGY CO-MANAGEMENT Explicit used to identify ongoing co-management of eye care for an eligible resident between an Optometrist and an Ophthalmologist
SPCDRG	SPECIFIED DRUGS FOR OPTOMETRY Explicit Indicates an Optometrist is providing optometric services as the patient is receiving treatment with the drug Chloroquine (Aralen), Ethambutol (Myambutol and Servambutol), Hydroxychloroquine Sulfate (Plaquenil), or Tamoxifen (Novaldex).
TOC	TRANSFER OF CARE Explicit Indicates the care of a hospitalized patient was transferred to a second physician in the same facility. The physician receiving the transferred patient must use TOC.