Anesthesia CPT Modifiers List

.Anesthesia Modifiers .Physical Status (PS) P1  A normal healthy patient  P2  A patient with mild systemic disease  P3  A patient with severe systemic disease  P4  A patient with severe systemic disease that is a constant threat to life  P5  A moribund patient who is not expected to survive without surgery  P6  A declared brain-dead patient…

Anesthesia Billing Guidelines Reminder & Reference

The following is a reminder of the billing guidelines for anesthesia services for  UnitedHealthcare Community Plan:  Anesthesia Services – General or monitored anesthesia management services must besubmitted with a CPT anesthesia code 00100-01999, except 01953 and 01996. Refer tothe Anesthesia Management Codes in the Anesthesia Policy for all applicable codes.  Time Reporting –…

Anesthesia CPT Code Procedure | Qualifiying Factor & Description Units

Procedure Codes and Modifiers Anesthesia providers are required to utilize the appropriate anesthesia codeidentified in the current Relative Value Guide published by the AmericanSociety of Anesthesiologists. Time in attendance should be billed by listingtotal minutes HP will calculate total units by dividing the total minutes (reported in block24G) by 15, rounding up to the next…

How To Bill Emergency Anesthesia Modifier ZB With CPT Q5102 & CPT Q9981

Emergency Anesthesia Modifier:  Healthy Patient Modifier -ZB may be used to bill for anesthesia services during an emergency procedure on an otherwise healthy or medically stable and uncompromised patient.  Examples of the appropriate use of modifier -ZB are an otherwise healthy adult patient who presents with acute appendicitis, a pediatric patient who presents with a…

Anesthesia Modifiers Chart

Anesthesia Modifiers Chart The chart below lists the ASA ranking of patient physical status and the modifiers and added unit values associated with the rankings.  It also shows three special circumstance modifiers and their added units of value. PatientPhysical Status HCPCS Modifier Added Units of Value 1. Normal, healthy patient or patient with mild systemic…

Anesthesia Physical Status Modifier

Anesthesia Modifiers 1. Physical Status Modifiers. Physical status modifying units will be reimbursed if the patient is ranked in one of the following three categories. Physical status is included in CPT to distinguish various levels of complexity of the anesthesia service provided. Example: 00100-P3 Status Modifiers    Description                                        Modifying Unit ValueP3                      A patient with severe systemic…

List With CPT & HCPCS Modifiers For Anesthesia Services

Add the appropriate Level 1 CPT modifier or HCPCS Level II modifier to the five digit code or identify the modifier by use of a separate code by adding 099 before the 2 digit number e.g. 09950, 09951. Level 1 CPT Modifier                 Description -23 Unusual Anesthesia               Occasionally, a procedure, which usually requires either no anesthesia…