Incorrect Modifier Usage For Anesthesia Services
Anesthesia Modifiers *not an all-inclusive list.
Modifiers must be billed with anesthesia procedure codes to indicate whether the procedure was personally performed, medically directed or medically supervised.
Service will deny:
· When billed without appropriate modifier for provider’s specialty
· When modifier is not billed in the appropriate modifier position.
· When billed with invalid modifier combinations. (see incorrect modifier billing combination grid below)
· If not billed in accordance with standard coding/billing guidelines and Neighborhood’s policies
Incorrect Billing Modifiers
Modifier Do Not file on the same claim line with:
AA – Anesthesiologists AD, QY, QK, QX, or QZ
QY – Anesthesiologists AA, AD, QK, QX, or QZ
QK – Anesthesiologists AA, AD, QY, QX, or QZ
AD – Anesthesiologists AA, QY, QK, QX, or QZ
QX – CRNAs AA, AD, QY, QK, or QZ
QZ – CRNAs AA, AD, QY, QK, or QX