List With Anesthesia CPT Codes That Require Authorization

Anesthesiologists are NOT required to request prior authorization. The surgeon must obtain prior authorization when required for procedures identified in the Medical and Surgical Procedure Code List included with the Utah MedicaidProvider Manual for Physician Services.The anesthesiologist is required to enter the prior authorization number obtained by the surgeon for the CPT code when billing…

Certified Registered Nurse Anesthetist Billing Explained

Anesthesia Billing for CRNAs A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who is an anesthesia specialist and may administer anesthesia independently or under physician “medical…

Modifier QK, QX, QY, QZ, QS, G8 & G9 For Anesthesia Billing

Billing Modifiers The following modifiers are used when billing for anesthesia services: • QX – Qualified nonphysician anesthetist with medical direction by a physician. • QZ – CRNA without medical direction by a physician. • QS – Monitored anesthesiology care services (can be billed by a qualified nonphysician anesthetist or a physician). • QY –…

CPT Modifier 78 & Modifier 79 | Usage Guidelines

Modifier 79 Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Modifier 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period Anesthesia, CCI Editing, Global Days, Multiple Procedure Reduction, Rebundling The physician may…