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The new informational modifier could affect payment, too. To facilitate claims processing for disaster victims, the Centers for Medicare and Medicaid (CMS) has create a new modifier CR (Catastrophe/disaster related) that you can use if you ever need to code services for patients affected by catastrophe/disaster. This article will familiarize you with modifier coding guidelines and get you key pointers on when, where and why you should use this disaster modifier. When to Report Modifier CR Note that you will not be able to report the modifier for all disaster related services - in fact there are some definite factors that must be met prior to using this modifier. For one, you can use this modifier only in visibly catastrophe/disaster situations. Section 1135 of the Social Security Act empowers the HHS to modify/waive certain Part B Medicare, Medicaid, Children's Medicaid, and HIPAA requirements. The department allows these waivers in order to better track how payers process clai...