U.S. DEPARTMENT OF LABOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS
2010 FEE SCHEDULE MODIFIER LEVEL TABLES
File: fs10_mod_table.xls
These CPT & HCPCS modifiers are informational only and should be ignored for pricing purposes (298 modifiers)
Modifiers that don't affect pricing
23
32
47
90
91
99
A1
A2
A3
A4
A5
A6
A7
A8
A9
AD
AE
AF
AG
AH
AI
AK
AM
AP
AQ
AR
AT
AU
AV
AW
AX
BA
BL
BO
BP
BR
BU
CA
CB
CC
CD
CE
CF
CG
CR
E1
E2
E3
E4
EA
EB
EC
ED
EE
EJ
EM
EP
ET
EY
F1
F2
F3
F4
F5
F6
F7
F8
F9
FA
FB
FC
FP
G1
G2
G3
G4
G5
G6
G7
G8
G9
GA
GB
GC
GD
GE
GF
GG
GH
GJ
GK
GL
GM
GN
GO
GP
GQ
GR
GS
GT
GV
GW
GY
GZ
H9
HB
HC
HD
HE
HF
HG
HH
HI
HJ
HK
HL
HM
HN
HO
HP
HQ
HR
HS
HT
HV
HW
HX
HZ
J1
J2
J3
J4
JA
JB
JC
JD
JW
K0
K1
K2
K3
K4
KA
KB
KC
KD
KE
KF
KG
KH
KI
KJ
KK
KL
KM
KN
KO
KP
KQ
KR
KS
KT
KU
KV
KW
KX
KZ
LC
LD
LL
LR
LS
M2
MS
NR
P1
P2
P3
P4
P5
PA
PB
PC
PI
PL
PR
PS
Q0
Q1
Q2
Q3
Q4
Q5
Q6
Q7
Q8
Q9
QB
QC
QD
QE
QF
QG
QH
QJ
QL
QM
QN
QP
QR
QS
QT
QW
RA
RB
RC
RD
RE
SB
SC
SD
SE
SF
SH
SJ
SK
SL
SM
SN
SQ
SS
ST
SU
SV
SW
SY
T1
T2
T3
T4
T5
T6
T7
T8
T9
TA
TD
TE
TF
TG
TH
TJ
TK
TL
TM
TN
TP
TQ
TR
TS
TT
TU
TV
TW
U1
U2
U3
U4
U5
U6
U7
U8
U9
UA
UB
UC
UD
UF
UG
UH
UJ
UK
UN
UP
UQ
UR
US
V5
V6
V7
V8
V9
VP