curl --request GET \
--url https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers \
--header 'API-KEY: <api-key>' \
--header 'TENANT: <tenant>'import requests
url = "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers"
headers = {
"TENANT": "<tenant>",
"API-KEY": "<api-key>"
}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {TENANT: '<tenant>', 'API-KEY': '<api-key>'}};
fetch('https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"API-KEY: <api-key>",
"TENANT: <tenant>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("TENANT", "<tenant>")
req.Header.Add("API-KEY", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers")
.header("TENANT", "<tenant>")
.header("API-KEY", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["TENANT"] = '<tenant>'
request["API-KEY"] = '<api-key>'
response = http.request(request)
puts response.read_body[
{
"code": "<string>",
"label": "<string>",
"crosswalked": true
}
]{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"input": "<unknown>",
"ctx": {}
}
]
}List Candidate Modifiers
Candidate (NOT eligible) modifiers for a CPT/HCPCS code.
Narrows the Super Bill editor’s modifier picker to the union of:
- PROCEDURE modifiers the AMA CPT Modifier Crosswalk associates with the
line’s code (
cpt_modifier->modifierfor the label), and - every INSURANCE modifier, regardless of code.
The union exists because the crosswalk only catalogs procedure modifiers — facts about how a procedure was performed (26 professional component, 50 bilateral). INSURANCE modifiers (the CMS ABN family: GA/GX/GY/GZ) instead describe whether the PAYER covers the line, which turns on the patient’s plan rather than the procedure — so no code->modifier crosswalk can express them, and their absence from it is guaranteed rather than evidence of invalidity. Crosswalk-only candidates hid GY from chiropractic billers, who need it on essentially every line that isn’t 98940/98941/98942.
Final correctness still depends on payer, documentation, POS, provider type, the other claim lines, and encounter context — so these are candidates, and the picker keeps its free-type escape.
An unknown code returns the insurance modifiers (not []): they are
code-independent, and free-typed lines carrying codes absent from the
licensed cpt catalog (e.g. J-codes) are exactly where a biller reaches
for GY.
Each row carries crosswalked — whether the crosswalk pairs it with THIS
code, as opposed to being present only because it is an insurance modifier.
The picker warns about an off-list modifier only for a code the crosswalk
actually has rows for; because insurance modifiers make the list never-empty,
“no rows for this code” is no longer an empty list and needs this flag to
stay detectable. It is derived per request, not the modifier’s stored type.
curl --request GET \
--url https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers \
--header 'API-KEY: <api-key>' \
--header 'TENANT: <tenant>'import requests
url = "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers"
headers = {
"TENANT": "<tenant>",
"API-KEY": "<api-key>"
}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {TENANT: '<tenant>', 'API-KEY': '<api-key>'}};
fetch('https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"API-KEY: <api-key>",
"TENANT: <tenant>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("TENANT", "<tenant>")
req.Header.Add("API-KEY", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers")
.header("TENANT", "<tenant>")
.header("API-KEY", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://api.decodahealth.com/medical-codes/cpt/{code}/candidate-modifiers")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["TENANT"] = '<tenant>'
request["API-KEY"] = '<api-key>'
response = http.request(request)
puts response.read_body[
{
"code": "<string>",
"label": "<string>",
"crosswalked": true
}
]{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"input": "<unknown>",
"ctx": {}
}
]
}