List With CPT Modifiers For Clinical Laboratory Services

Add the appropriate Level 1 or Level II CPT 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 Modifier                                                     Description -59 Distinct Procedural Service                               The modifier –59 is appropriate to report multiple service submissions for…

Modifier Question On Anethesia Claims Explained

Q. What defines medical direction? For each anesthesia procedure, the anesthesiologist must perform all of the following seven services and they must be recorded in the anesthesia record:1. Perform a pre-anesthetic examination and evaluation;2. Prescribe the anesthesia plan;3. Personally participate in the most demanding procedures of the anesthsia plan including, ifapplicable, induction and emergence;4. Ensure…

How To Use Modifier P1, Modifier ZE & Modifier ZA For Normal Uncomplicated Anesthesia

All anesthesia claims require a modifier.  Failure to use the applicable modifier will result in the claim being returned to the provider for correction.      Modifier P1 must be billed with the appropriate five-digit CPT-4 anesthesia code to identify a normal, uncomplicated anesthesia provided by a physician.     Modifier ZE must be billed with the…

Billing Guide For CRNA Anesthesia Services (With Example)

Certified Registered Nurse Anesthetists (CRNA) Services  Neighborhood will require all CRNA(s) to become individually credentialed Effective 10/1/2014 Neighborhood will begin reimbursing CRNA services at a percentage of anesthesia allowable. CRNA must be credentialed on the date of service in order to receive reimbursement for the service and all claims must be billed using the CRNA’s…

Anesthesiology CPT Modifier

Anesthesiology CPT Modifier Diagnosis Unit of Service A repeat anesthesia procedure on the same day which is billed with the CPT modifier 76 or 77 will be paid at $0.00. AA Anesthesia services personally performed by an anesthesiologist. The AA modifier is used for all basic proceduresAD Medical supervision by a physician, more than four…