| Modifiers 26 and TC: Professional and Technical Component - Professional | C-20004 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifiers 50 and 51: Multiple and Bilateral Surgery - Professional | C-08004 · Effective Oct 30, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 63 | Original policy ↗ |
| Modifiers 50 and 51: Multiple and Bilateral Surgery - Professional | C-08004 · Effective Mar 1, 2025 · Commercial · VA | 55 | Original policy ↗ |
| Modifiers 52, 53, 73, and 74: Reduced and Discontinued Services | G-10033 · Effective Oct 23, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 52, 53, 73, and 74: Reduced and Discontinued Services | G-10033 · Effective Oct 23, 2025 · Medicaid · IN | — | Original policy ↗ |
| Modifiers 52, 53, 73, and 74: Reduced and Discontinued Services | G-10033 · Effective Dec 14, 2023 · Medicaid · NV | — | Original policy ↗ |
| Modifiers 59 and XE, XP, XS, & XU: Distinct Procedural Service - Professional | C-09006 · Effective Mar 1, 2025 · Commercial · VA | 113 | Original policy ↗ |
| Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - Professional | C-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 187 | Original policy ↗ |
| Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - Professional | C-09006 · Effective Jul 1, 2026 · Commercial · CA | 130 | Original policy ↗ |
| Modifiers 59, XE, XP, XS, XU: Distinct Procedural Services | G-15001 · Effective Apr 12, 2022 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 59, XE, XP, XS, XU: Distinct Procedural Services | G-15001 · Effective Apr 12, 2022 · Medicaid · NV | — | Original policy ↗ |
| Modifiers 80, 81, 82 and AS: Assistant at Surgery - Professional | C-08006 · Effective Sep 27, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 44 | Original policy ↗ |
| Modifiers 80, 81, 82 and AS: Assistant at Surgery - Professional | C-08006 · Effective Apr 1, 2026 · Commercial · CA | 44 | Original policy ↗ |
| Modifiers 80, 81, 82 and AS: Assistant at Surgery – Professional | C-08006 · Effective Mar 1, 2025 · Commercial · VA | 42 | Original policy ↗ |
| Modifiers 80, 81, 82, and AS: Assistant at Surgery | G-06005 · Effective Dec 18, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 80, 81, 82, and AS: Assistant at Surgery | G-06005 · Effective Dec 19, 2023 · Medicaid · NV | — | Original policy ↗ |
| Modifiers 90 and 91: Laboratory Services | G-20001 · Effective Dec 1, 2026 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 90 and 91: Laboratory Services | G-20001 · Effective Dec 1, 2026 · Medicaid · NV | — | Original policy ↗ |
| Modifiers 90, 91, and 92: Laboratory Services – Professional and Facility | C-26002 · Effective Nov 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 6 | Original policy ↗ |
| Modifiers 90, 91, and 92: Laboratory Services – Professional and Facility | C-26002 · Effective Jan 1, 2027 · Commercial · CA | 6 | Original policy ↗ |
| Modifiers LT and RT: Left-Side and Right-Side Procedures | G-07022 · Effective Jul 21, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifiers LT and RT: Left-Side and Right-Side Procedures | G-07022 · Effective Jul 21, 2025 · Medicaid · IN | — | Original policy ↗ |
| Modifiers LT and RT: Left-Side and Right-Side Procedures | G-07022 · Effective Jul 21, 2025 · Medicaid · NV | — | Original policy ↗ |
| Modifiers PN and PO: Off-Campus Provider-Based Hospital Outpatient | G-26002 · Effective Jan 1, 2027 · Medicaid · NV | 5 | Original policy ↗ |
| Module 1 PDSA Example | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Module 2 PDSA Example | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Module 3 PDSA Example | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Molecular Signature Test for Predicting Response to Tumor Necrosis Factor Inhibitor Therapy | LAB.00042 · Commercial | 1 | Original policy ↗ |
| MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications | MED.00057 · Commercial | 6 | Original policy ↗ |
| Multiple and Bilateral Surgery — Professional and Facility Reimbursement | AIN-RP-0214-21 · Effective Nov 25, 2020 · Medicaid · IN | — | Original policy ↗ |
| Multiple Delivery Services | G-06044 · Effective Jul 17, 2024 · Medicaid · OH | — | Original policy ↗ |
| Multiple Delivery Services | G-06044 · Effective Apr 29, 2022 · Medicaid · NV | — | Original policy ↗ |
| Multiple Delivery Services - Professional | C-19005 · Effective Mar 1, 2023 · Commercial · VA | — | Original policy ↗ |
| Multiple Delivery Services – Professional | C-19005 · Effective Apr 29, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Diagnostic Imaging Procedures – Professional | C-11004 · Effective Dec 1, 2023 · Commercial · VA | — | Original policy ↗ |
| Multiple Diagnostic Imaging Procedures – Professional and Facility | C-25003 · Effective Oct 26, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Diagnostic Imaging Procedures – Professional and Facility | C-25003 · Effective Jul 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Multiple Procedure Payment Reduction – Professional | C-23003 · Effective Dec 1, 2023 · Commercial · VA | — | Original policy ↗ |
| Multiple Procedure Payment Reduction – Professional | C-23003 · Effective Apr 12, 2023 · Commercial · ME | — | Original policy ↗ |
| Multiple Procedure Payment Reduction – Professional | C-23003 · Effective Apr 12, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Procedure Payment Reduction – Professional | C-23003 · Effective Oct 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Multiple Radiology Payment Reduction | G-12002 · Effective Dec 10, 2024 · Medicaid · OH | — | Original policy ↗ |
| Multiple Radiology Payment Reduction | G-12002 · Effective Aug 15, 2022 · Medicaid · NV | — | Original policy ↗ |
| Multiple Surgery - Facility | C-21004 · Effective Jan 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Multiple Surgery - Facility | C-21004 · Effective Jan 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Multiple Surgery - Facility | C-21004 · Effective Jan 1, 2027 · Commercial · CA | — | Original policy ↗ |
| Multiple Surgery – Facility | C-21004 · Effective Jan 1, 2022 · Commercial · WI | — | Original policy ↗ |
| Multiple Surgery – Facility | C-21004 · Effective Jan 1, 2022 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH | — | Original policy ↗ |
| Multiplex Autoantigen Microarray Testing for Systemic Lupus Erythematosus | LAB.00036 · Commercial | 2 | Original policy ↗ |
| National Provider Identifier (NPI) FAQs | Commercial · NV | — | Original policy ↗ |
