Used to indicate the type of tissue repair or if a procedure was performed through an open incision.
| Code: | Description: |
|---|---|
| CMPRSC | COMPOSITE TISSUE RESECTION Explicit Used to indicate a composite tissue resection (including bone). Please refer to Governing Rule 12.4.2 for more information. |
| FNCAR | FLAP FUNCTIONAL AREA Explicit Used to indicate a flap in a functional area. Please refer to Governing Rule 12.4.2 for more information. |
| OPEN | INCISION Explicit Used to indicate that a procedure was performed through an open incision, therefore is payable at a modified rate. Please refer to Governing Rule 12.4.2 for more information. |
| OPEN2 | OPEN SECOND CALL Explicit Used to replace open modifier if two of the same procedures were performed. Please refer to Governing Rule 12.4.2 for more information. |
| PROSTH | PERIPROSTHETIC FRACTURE Explicit Used to indicate an open reduction of a periprosthetic fracture of a long bone or closed reduction with intramedullary nail fixation, when no revision arthroplasty of the same long bone is performed in the same surgical procedure. Applies only to the surgical component of a HSC. Please refer to Governing Rule 12.4.2 for more information. |
| YGRFTA | Y GRAFT ANESTHETIC Explicit Used to indicate a full Y graft. Applies only to anesthetic services. |
| 2ZPL | FLAP 5-10cm OR DOUBLE Z PLASTY Explicit Used to indicate a functional area flap or a double Z plasty. Please refer to Governing Rule 12.4.2 for more information. |
| 3ZPL | FLAP GREATER THAN 10cm OR TRIPLE Z PLASTY Explicit Used to indicate a functional area flap or a triple Z plasty. Please refer to Governing Rule 12.4.2 for more information. |
