This billing guide explains how to modifier QK, modifier QS, Modifier QX, Modifier QY, and Modifier QZ for anesthesia services. Below the official descriptions and billing guidelines. Click on a link to go to section of this article. Modifier QK Description Billing Guidelines Modifier QS Description Billing Guidelines Modifier QX Description Billing Guidelines Modifier QY…
Anesthesia modifiers can be used to clarify a CPT code for a service that is billed. The modifiers can be used to alter a service without having to change a CPT code. This article covers all the modifiers that can be used for anesthesia services. Click on a link to jump to the section of…
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…
The following modifiers should be used as secondary or tertiary modifiers only and not as the primary modifier. These modifiers are intended to provide additional information specific to the services provided; there will be no additional reimbursement made for these modifiers. Modifier Description 22 Increased Procedural Service — Per CPT Appendix A modifiers: When the…
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 Florida Blue must include a modifier. More than one modifier can be submitted per detail line; however, the Florida Blue claims system will adjudicate the claim based only on the…
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…
Modifier DescriptionAE Registered DieticianAF Specialty PhysicianAG Primary PhysicianAH Clinical PsychologistAI Principal Physician of RecordAJ Clinical Social WorkerAK Non Participating PhysicianAM Physician, team member serviceAS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery. Must be reported with a Assistant Surgeon modifier (i.e. 80, 81, 82)AT Acute TreatmentFor dates of service on…
Anesthesia Services and Teaching Anesthesiologist If a teaching anesthesiologist is involved in a single procedure with one resident, the anesthesia services will be paid at the personally performed rate. The teaching physician must document in the medical records that he or she was present during all critical (or key) portions of the procedure. The teaching…
Required Modifiers Required Modifiers for Anesthesiologist Description Reimbursement AA Anesthesia services personally performed by anesthesiologist100 percent of allowable amount AD Medical supervision by a physician, more than four concurrent anesthesiaproceduresMax 3 base units + time units) effective 10/1/2014 date of service QK Medical direction of two, three or four concurrent anesthesia procedures50…
Based on widespread probes of office evaluation and management (E/M) services, First Coast has discovered that the 24 modifier for E/M services, when billing within a global surgery period, has been billed incorrectly at least 60 percent of the time. Clinical review of documentation demonstrates that modifier 24 was either not supported for the encounter,…
