Anatomical Modifiers Required When Applicable

As a reminder, for appropriate reimbursement, it is important to include one of the following modifiers when billing for a procedure defined as requiring an anatomical modifier (used to indicate the specific area or part of the body on which a procedure was performed):

  • E1-E4 – Eyelids
  • FA, F1-F9 – Fingers
  • TA, T1-T9 – Toes
  • LC – Left circumflex, coronary artery
  • LD – Left anterior descending coronary artery
  • LM – Left main coronary artery
  • RI – Ramus intermedius
  • RC – Right coronary artery
  • LT- Left
  • RT- Right
  • 50- Bilateral procedure

CarePartners of Connecticut may deny claims that do not include the necessary anatomical modifiers. For more information, please refer to the Modifier Payment Policy.