CPT Modifier 8P

Published 07/16/2020

Performance measure reporting modifier — action not performed, reason not otherwise specified.

In general, Physician Quality Reporting System (PQRS) quality measures consist of a numerator and a denominator that permit the calculation of the percentage of a defined patient population that receive a particular process of care or achieve a particular outcome.
  • Where an exclusion does not apply, the CPT Category II modifier 8P may be used to indicate that the process of care was not provided for a reason not otherwise specified
  • CPT modifier 8P: the quality measure was not applied due to other reasons
  • This modifier may only be reported with the CPT Category II codes for quality measures. It does not apply to HCPCS codes for quality measures.
  • Refer to each individual quality measure for specific indications for this modifier
Reference: The AMA website contains an alphabetical index of performance measures by clinical condition or topic.

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