Forum - Questions & Answers

Feb 16th, 2015 - rphelps 615  1 

Anesthesia billing

In what order should these modifiers be billed: QZ, QS and P2?

Feb 16th, 2015 - lmckenna 19 

re: Anesthesia billing

first - pricing modifiers (i.e. 21 22 26 50 52 53 60 62 80 82 and P1-P6)*
second - payment modifiers (i.e. 24 25 51 57 58 59 76 77 78 79 91)
third - location modifiers (i.e. E1-E4 FA F1-F9 LC LD RC RT TA T1-T9)

ORDER OF REPORTING
pricing mod before payment and location EXCEPT when global surgery pkg involved, then report payment mod before pricing mod i.e. mod 78 & 62

location modifiers are always last
26 mod is always first
2 payment mod like 51 & 59 on same line, enter 59 in first position

In your question the order would be P2 QZ QS (be cure plan accepts phys status modifiers. Medicare doesn't, so many commercial plans don't either)

Feb 17th, 2015 - rphelps 615  1 

re: Anesthesia billing

Thanks



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