Is there a modifier for general anesthesia?
Asked by: Brad Moen V | Last update: April 15, 2025Score: 4.7/5 (10 votes)
Does anesthesia require a modifier?
Physicians are required to report the appropriate anesthesia modifier when reporting for anesthesia. The modifier explains whether the service was personally performed, medically directed, medically supervised, or monitored anesthesia care.
What is the GC modifier for anesthesia?
GC - these services have been performed by a resident under the direction of a teaching physician. The GC modifier is reported by the teaching physician to indicate he/she rendered the service in compliance with the teaching physician requirements in section 9789.18.
What is the 53 modifier for anesthesia?
Modifier 53 - Discontinued Procedure
Modifier 53 may be added to the procedure code when a procedure is terminated after the induction of anesthesia (e.g. local, regional block(s), or general anesthesia), or after the procedure was started (incision made, intubation started, scope inserted).
What is the 23 modifier for anesthesia?
General Use of Modifier 23
Append Modifier 23 to an anesthesia procedure code to indicate that a procedure normally performed under local anesthesia or with a regional block required general anesthesia. Documentation shall support the reason that general anesthesia was required.
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What is the 59 modifier for anesthesia?
Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.
What is a 24 modifier used for?
Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period.
What is the modifier 22 for anesthesia?
Modifier -22: Increased Procedural Services. This modifier is used to identify a service that requires significantly greater effort, such as increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required, than is usually needed for that procedure.
What is the 33 modifier used for?
Current Procedural Terminology (CPT) modifier 33 can be used when billing for ACA-designated preventive services with a commercial payer. The addition of modifier 33 communicates to a commercial payer that a given service was provided as an ACA preventive service.
What is the 52 modifier used for?
Modifier -52 is used to indicate partial reduction or discontinuation of radiology procedures and other services that do not require anesthesia. The modifier provides a means for reporting reduced services without disturbing the identification of the basic service.
What is the GA and GY modifier?
Definitions of the GA, GY, and GZ Modifiers The modifiers are defined below: GA - Waiver of liability statement on file. GY - Item or service statutorily excluded or does not meet the definition of any Medicare benefit. GZ - Item or service expected to be denied as not reasonable and necessary.
What is the QX modifier for anesthesia?
Modifier QX is used by a nurse anesthetist or anesthesiologist assistant when medically directed by a physician anesthesiologist. In such a case, as discussed above, a physician anesthesiologist would submit a corresponding claim for medical direction, either with modifier QK or modifier QY.
What is a 57 modifier used for?
CPT modifier 57 may be used to report the decision for surgery for certain codes. This modifier may be used to indicate that an evaluation and management (E/M) service performed on the same day or the day before a major surgery (090 global days) by the surgeon resulted in the decision to perform the procedure.
When to use GC modifier?
Modifiers GC and GE are used to identify the involvement of a resident in the care of the patient. These modifiers should be used on Medicare and Medicaid patients whenever a resident is involved in the care provided.
What is the CPT code for general anesthesia?
CPT codes 00100-01860 specify “Anesthesia for” followed by a description of surgical intervention. CPT codes 01916-01942 describe anesthesia for radiological procedures. Several CPT codes (01951-01999) describe anesthesia services for burn excision/debridement, obstetrical, and other procedures.
What is a 73 modifier used for?
Use modifier 73 to report discontinued outpatient/hospital ambulatory surgical center (ASC) procedure prior to the administration of anesthesia. Physicians should not use this modifier. This is only appropriate for use by the ASC.
What is the 59 modifier used for?
Definitions. Modifier 59 describes a distinct procedural service, and is used to identify procedures and services that are not normally reported together.
What is the 33 modifier?
By appending modifier 33, the provider alerts the insurer that a covered preventive service was provided, and that patient cost-sharing does not apply.
What is the modifier 78 for anesthesia?
Modifier 78 is used to report an unplanned return to the operating or procedure room, by the same physician, following an initial procedure for a related procedure during the post-operative period.
What is the 25 modifier used for?
Modifier 25 is used to indicate that a patient's condition required a significant, separately identifiable evaluation and management (E/M) service above and beyond that associated with another procedure or service being reported by the same physician or other qualified health care professional (QHP) on the same date.
What is the 26 modifier?
• Modifier 26 is appended when a physician provides the professional component only of the global fee. and when the physician prepares a written interpretation and report. • Modifier 26 should only be appended to codes which are listed in the CMS NPFSRVF as modifier 26. appropriate.
What is 23 modifier used for?
Modifier 23 (Unusual Anesthesia) This modifier describes a procedure usually not requiring anesthesia (either none or local), but due to unusual circumstances, is performed under general anesthesia.