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Hi Guest!
Great question. According to the modifier 47 fact sheet provided by a Medicare contractor (WPS), modifier 47 would actually be reported on the basic service instead of on the anesthesia CPT code.
As for the common modifiers to use with the anesthesia service, below are some modifier options:
AA - Anesthesia services performed personally by an anesthesiologist AD - Medical supervision by a physician; more than four concurrent anesthesia procedures G8 - Monitored anesthesia care (MAC) for deep complex, complicated or markedly invasive surgical procedure G9 - Monitored anesthesia care (MAC) for a patient who has a history of severe cardiopulmonary condition QK - Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals QS - Monitored anesthesia care service QX - CRNA service; with medical direction by a physician QY - Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist QZ - CRNA service; without medical direction by a physician 23 - Unusual anesthesia - Used to report a procedure which usually requires either no anesthesia or local anesthesia; however, because of unusual circumstances must be done under general anesthesia. Coverage/payment will be determined on a "by-report" basis.
Hope this helps!
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Insurance wants me to put modifier with code 00170. i put 47 and the denied it even if it's the most appropriate modifier. is there other modifier i need to put for my oral surgeon doing the sedation himself?
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