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    Modifier: LVP

    LESSER VALUE PROCEDURE

    Indicates that the procedure should be processed at a reduced rate. IF BASE RATE AMOUNTS ARE EQUAL ON THE HSCS CLAIMED, LVP50 OR LVP75 ARE NOT TO BE USED.

    Codes:

    Code:Description:
    ADD
    ADDITIONALS
    Explicit

    Indicates that the procedure is paid in addition to a specific procedure at a specified rate.

    ADD2
    ADDITIONAL SECOND CALL
    Explicit

    Used to replace ADD modifier if two of the same procedures were performed.

    LVP50
    LESSER VALUE PROCEDURE AT 50%
    Explicit

    Indicates the procedure of lesser value so that the General Rules to pay the second procedure at a reduced rate can be applied.

    LVP75
    LESSER VALUE PROCEDURE AT 75%
    Explicit

    Indicates the procedure of lesser value.

    Please refer to Governing Rules 6.9.1, 6.9.2, and 6.9.3 for more information.