2025 HCPCS Modifiers X5

Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician

TAGS: patient interpretation relationships clinician reporting requested reported include service adequately above examples study subsequent limited modifier alternative furnishes captured another imaging diagnostic
Short DescriptionSvc req by another clinician
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2018
HCPCS Action Effective Date January 01, 2018

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