Anesthesia Modifiers
Modifiers are two-digit indicators that are used with a procedure
code to add specific meaning to a service provided. Every anesthesia
administrative code billed to BCBSF must include a modifier. More than
one modifier can be submitted per detail line; however, the BCBSF claims
system will adjudicate the claim based only on the first modifier
submitted.
Primary Anesthesia Modifiers
AA |
Anesthesia services performed personally by the anesthesiologist |
100% |
AD |
Modifier
AD (medical direction of five or more concurrent anesthesia procedures
by an anesthesiologist) is not recognized by BCBSF for reimbursement
except for Medicare Advantage products. |
0% |
QK |
Medical direction (by anesthesiologist) of two, three or four concurrent procedures by qualified personnel |
50% |
QY |
Medical direction of one CRNA/AA by an anesthesiologist |
50% |
QX |
CRNA/AA service with medical direction by an anesthesiologist |
50% |
QZ |
CRNA service without medical direction by an anesthesiologist |
100% |
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