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modifier code

mod_cd
finance·Updated Jun 23, 2026

Definition

ISO-11179 Definition

A two-digit alphanumeric code appended to a CPT or HCPCS procedure code on a healthcare claim to provide additional information about the circumstances of the service without changing the definition of the code itself. Modifiers communicate important billing information including that a service was performed bilaterally, that multiple procedures were performed during the same session, that only part of a service was performed, that a service was performed by a different provider than the billing provider, or that a service was performed in a distinct encounter from other same-day services. Common modifiers include 25 for significant separately identifiable evaluation and management service, 51 for multiple procedures, 59 for distinct procedural service, and RT and LT for right and left side identification.

Healthcare data teams analyze modifier usage patterns in claims data to detect potentially improper modifier application that inflates payment, validate modifier combinations against CCI edits, and identify providers with outlier modifier rates requiring compliance review.

Standard Abbreviation

mod_cd

Category

finance

Production DDL — FACT_CLAIM_TRANSACTION

FACT_CLAIM_TRANSACTION.sql
CREATE OR REPLACE TABLE FACT_CLAIM_TRANSACTION (
    clm_txn_key     INTEGER        NOT NULL  -- surrogate key,
    clm_id          VARCHAR(50)    NOT NULL  -- claim identifier,
    mbr_key         INTEGER        NOT NULL  -- FK to DIM_MEMBER,
    prvdr_key       INTEGER        NOT NULL  -- FK to DIM_PROVIDER,
    clm_typ_cd      VARCHAR(10)              -- claim type code,
    tot_chrg_amt    DECIMAL(18,2)            -- total charged amount,
    tot_alwd_amt    DECIMAL(18,2)            -- total allowed amount,
    tot_pd_amt      DECIMAL(18,2)            -- total paid amount,
    cntrct_adj_amt  DECIMAL(18,2)            -- contractual adjustment,
    denial_ind      CHAR(1)                  -- denial indicator,
    denial_rsn_cd   VARCHAR(10)              -- denial reason code,
    prior_auth_nbr  VARCHAR(30)              -- authorization number,
    clm_lag_days    SMALLINT                 -- claim lag days,
    days_ar         SMALLINT                 -- days in AR,
    load_dt         TIMESTAMP_NTZ  NOT NULL  -- load timestamp
);

Standard Snowflake DDL for the canonical finance table. Convert to BigQuery or Databricks →

Why This Term Matters

Healthcare data terminology is foundational for any data engineer working in this industry. Precise understanding of standard terms enables accurate schema design, reduces downstream data quality issues, and ensures pipelines meet the regulatory and interoperability requirements imposed by HIPAA, HL7 FHIR, and CMS reporting frameworks. Without this foundation, even technically well-built pipelines produce data that fails validation when it reaches payers or regulators.

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