What is the maximum number of modifiers that can be used with a single CPT code?

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The maximum number of modifiers that can be applied to a single CPT code is defined by the coding guidelines, which allow for the attachment of up to four modifiers to a single code. Modifiers are used to provide additional information about the service or procedure performed, indicating that a service or procedure has been altered in some way without changing its definition or code.

When using modifiers, it's crucial to ensure that they are appropriately applied to convey specific circumstances related to the procedure. This flexibility allows healthcare providers to communicate nuances about the services rendered effectively, such as distinguishing between different sites of service, the nature of the procedure, or whether it was performed bilaterally.

Though there may be specific coding situations that warrant fewer modifiers, the ceiling of four maximizes the ability to convey complex information associated with the service provided in a single line item.

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