Lookup a HCPCS code + modifier combo
codes
Lookup a HCPCS code + modifier combo
Return RVU + fee-schedule rows for a HCPCS/CPT code paired with a modifier.
The resolution order for each fee schedule is:
- Try the code+modifier-specific row (e.g.
17000+26). - Fall back to the base code row (no modifier) when the modifier-specific
row does not exist.
notesrecords when this fallback was used.
GET
Lookup a HCPCS code + modifier combo
Authorizations
Path Parameters
Billing or terminology code value (CPT/HCPCS/NDC/etc depending on endpoint context).
HCPCS/CPT modifier code paired with the base procedure code.
Response
Successful Response
HCPCS/CPT + modifier combo lookup — RVUs and fee-schedule rows that match the code+modifier pair (or the bare code when no modifier-specific row exists).