Modifier CR: Catastrophe/disaster related

Modifier Code

Code Type

Billing modifier

When to Use Modifier CR

Append modifier CR when services are related to a declared catastrophe or national disaster, such as a FEMA-declared emergency or a public health emergency. During events such as hurricanes or pandemics, CMS and some commercial payers may require or request this modifier to track disaster-related utilization and apply special reimbursement policies. Confirm active disaster declarations before applying this modifier.

CPT Codes Commonly Paired with Modifier CR

These CPT codes are frequently billed alongside modifier CR in therapy practice:

CPT 90837 - Psychotherapy, 60 minutes CPT 90832 - Psychotherapy, 30 minutes CPT 90791 - Psychiatric diagnostic evaluation CPT 90847 - Family psychotherapy with patient present

Superbill Notes for Modifier CR

What to include: Reference the specific disaster declaration or emergency on the superbill where required. Include documentation linking the client's presenting concerns to the declared catastrophe when this modifier is used.

Adding Modifier CR to a Superbill

Superbilled lets you add modifier codes directly to each line item on your superbill. When generating a superbill with modifier CR, make sure to include your NPI number, the patient's diagnosis code, date of service, fee charged, and amount paid. The modifier appears alongside the CPT code on the claim.

Generate a superbill with Modifier CR free