Add the appropriate Level 1 CPT modifier or HCPCS Level II modifier to the five digit code or identify the modifier by use of a separate code by adding 099 before the 2 digit number e.g. 09950, 09951.
Level 1 CPT Modifier Description
-23 Unusual Anesthesia Occasionally, a procedure, which usually requires either no anesthesia or local anesthesia, because of unusual circumstances must be done under general anesthesia. This circumstance may be reported by adding the modifier ‘-23’ to the procedure code of the basic service or by use of the separate five digit modifier code 09923.
-47Anesthesia by Surgeon Regional or general anesthesia provided by the surgeon may be reported by adding the modifier ‘-47’ to the basic service or by use of the separate five digit modifier code 09947. (This does not include local anesthesia.) Note: Modifier ‘–47’ or 09947 would not be used as a modifier for the anesthesia procedures 00100-01999.
-51 Multiple Procedures This modifier must be used to report multiple procedures performed at the same session. The service code for the major procedure or service must be reported without a modifier. The secondary, additional or lesser procedure(s) must be identified by adding the modifier ‘51’ to the end of the service code for the secondary procedure(s). Note: This modifier should not be used with designated “add-on” codes or with codes in which the narrative begins with “each additional.” (See Appendix B)
-QK Medical Direction of Multiple Anesthesia Procedures This modifier must be used in conjunction with the appropriate service code to denote medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals.
-QX CRNA Service This modifier must be used to report services of a CRNA: with medical direction by a physician. This medical direction modifier is used when the physician medically directs two, three, or four concurrent procedures involving interns, residents, CRNAs and AAs. This allows 50% of the fee to be paid to the employer.
-QY CRNA Service This modifier must be used to report services of one CRNA: with medical direction by an anesthesiologist. This allows 100% of the fee to be paid to the employer.
-QZ CRNA Service This modifier is used to report CRNA service: without medical direction by a physician. This allows 100% of the fee to be paid to the employer.
Know Anesthesia billing claim guidelines and rules for getting payments. How to bill the anesthesia claim in the correct manner without time delay. Medicare Anesthesia billing and coding. procedure code list , procedure codes.
Wednesday, June 2, 2010
Subscribe to:
Post Comments (Atom)
Popular Posts
-
CPT code and description 64479 - Injection, anesthetic agent and/or steroid, transforaminal epidural; Cervical or Thoracic, single level ...
-
CPT NEW DESCRIPTION 64633 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT)...
-
cpt code and description 64450 - Injection, anesthetic agent; other peripheral nerve or branch - average fee amount - $80 - $100 64405 ...
-
Billing Modifiers The following modifiers are used when billing for anesthesia services: • QX - Qualified nonphysician anesthetist wit...
-
Lumbar puncture Procedure code and Description 62270 T Spinal puncture, lumbar, diagnostic 0206 $373 $204 62272 T Spinal puncture, the...
-
Anesthesia Billing for CRNAs A timely topic if ever there was one! This issue continues to be a source of confusion to physician offices...
-
Anesthesia services are provided under difficult circumstances which may affect the condition of the patient, or present unusual operative c...
-
CPT CODE and Description 99143 - Moderate sedation services (other than those services described by codes 00100-01999) provided by the sa...
-
ANESTHESIA REIMBURSEMENT METHODOLOGY Code Description Comments 01960 Anesthesia for vaginal delivery only ...
-
EPSDT DENTAL PROGRAM Dental Hospital Calls and Sedation Policy Revisions D9230 NITROUS OXIDE – analgesia, anxiolysis, inhalation of nitr...

No comments:
Post a Comment