Print Quality Reporting Incentive Programs Modifiers

Modifier	Definition	Reporting Services
1P	Performance Measure Exclusion Modifier Due to Medical Reasons
2P	Performance Measure Exclusion Modifier Due to Patient Choice
3P	Performance Measure Exclusion Modifier Due to System Reasons
8P	Performance Measure Reporting Modifier - Action Not Performed, Reason Not Otherwise Specified
AQ	Service performed in a Health Professional Shortage Area. This modifier is used by physicians to indicate the services reported were rendered in a qualified HPSA and are eligible for the 10% incentive payment.
AR	Physician providing services in a physician scarcity area.
X1	Continuous/Broad services	For reporting services by clinicians who provide the principal care for a patient, with no planned endpoint of the relationship
X2	Continuous/Focused services	For reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed for a long time
X3	Episodic/Broad services	For reporting services by clinicians who have broad responsibility for the comprehensive needs of the patients, that is limited to a defined period and circumstance, such as a hospitalization.
X4	Episodic/Focused services	For reporting services by specialty focused clinicians who provide time-limited care. The patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention
X5	Only as Ordered by Another Clinician	For reporting services by a clinician who furnishes care to the patient only as ordered by another clinician. This patient relationship category is reported for patient relationships that may not be adequately captured in the four categories described above
MA	Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition.
MB	Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access.
MC	Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues.
MD	Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances.
ME	The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional.
MF	The order for this service does not adhere to the appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional.
MG	The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional.
MH	Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider.