AI HCPCS Level II modifier: Principal physician of record

AI is a HCPCS Level II modifier: “Principal physician of record.” It adds this detail to the code it is reported with.

Official description

AI

Principal physician of record

Short description: Principal physician of rec

HCPCS · United States

Medicare details

The indicators CMS publishes with AI in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Added
Jan 1, 2010

Where AI sits

  1. 1GroupHCPCS modifiers
  2. 2Modifier AIPrincipal physician of record

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code AI mean?

AI is the HCPCS code for “Principal physician of record” in CMS’s HCPCS Level II October 2026 release.

Where is AI in the HCPCS Level II list?

AI is listed under Modifiers.

Does Medicare cover AI?

CMS lists AI’s Medicare coverage as “Carrier judgment”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.