The pricing modifier populated on the fee schedule may not be valid for the PT/Spec/POS combination and is only a reference. Please refer to the appropriate MA bulletins for more information about the use of modifiers.

Please Note: ** is not a valid modifier. Please use the appropriate modifier as per your MA bulletins.

In addition, this fee schedule does not apply to Home and Community Based waiver services or those services approved by the Department under the 1150 Administrative Waiver (Program Exception) process.

All services performed in the ASC/SPU require Place of Service Review (PSR) as per regulation §1150.59.