Site-Specific Surgical Modifiers

When surgical procedures are performed on body parts that are bilateral (identical parts on each side of the body), HMSA prefers that you code the claim for the surgery using the appropriate site-specific modifier.

Site-specific modifiers are Medicare Level II modifiers and can be found in the HCPCS code book or inside the front cover of the CPT manual. They are listed below for your convenience.

Note: When using site-specific modifiers, do not use modifier codes 50 or 51.

General

Modifier Description
LT Left side
RT Right side

Eye

Modifier Description
E1 Upper left eyelid
E2 Lower left eyelid
E3 Upper right eyelid
E4 Lower right eyelid

Revision History

Date Nature of Revision
08/03/2026

Migrated to new platform.