Modifier 32 (Mandated Services)
CPT modifier indicating a service performed as required by a third party such as a payer, court, or workers' compensation carrier.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Billing
- Primary sources
- 1
- Workspace handoff
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Where this comes up
This shows up in revenue-cycle work — claim scrubbing, charge entry, posting, A/R follow-up, and month-end close. Billers and practice managers hit this term when reconciling a payment, working a denial queue, or auditing why a claim aged past 60 days.
Full definition
What it is in practice
CMS recognizes modifier 32 for mandated services. Payment may be at 100% rather than 80% in some payer policies.
How it shows up in your practice
Use 32 for IMEs, workers' comp evaluations, and similar mandated services. Document the mandate source.
Sources
- CMS — Modifier Referencehttps://www.cms.gov/medicare/coding-billing/modifiers
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D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
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This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.