Monday, October 17, 2016

Anesthesiologist and CRNA required modifiers

Required Modifiers

Required Modifiers for  Anesthesiologist    Description     Reimbursement

AA Anesthesia services personally performed by anesthesiologist
100 percent of allowable amount


AD Medical supervision by a physician, more than four concurrent anesthesia
procedures
Max 3 base units + time units) effective 10/1/2014 date of service


QK Medical direction of two, three or four concurrent anesthesia procedures
50 percent of allowable amount effective 10/1/2014 date of service


QY Medical direction of one C.R.N.A by anesthesiologist
50 percent of allowable amount effective 10/1/2014 date of service


Required Modifiers For CRNAs

QX Qualified non-physician anesthetist with medical direction by physician.
80 percent of the payment made for the QK or QY claim effective 10/1/2014 date of service

QZ CRNA service, without medical direction by anesthesiologist
80 percent of allowable amount effective 10/1/2014 date of service

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