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Anesthesia Modifiers

  • One of the following modifiers must be reported with anesthesia services in the first modifier field to indicate who performed the anesthesia service:
    Modifier Description
    AA Anesthesia services performed personally by anesthesiologist
    AD Medical supervision by a physician: more than four concurrent anesthesia procedures.
    QK Medically directed by a physician: two, three, or four concurrent procedures
    QY Anesthesiologist medically directs one CRNA
    QX CRNA service: with medical direction by a physician
    QZ CRNA service: without medical direction by a physician

The following modifiers can be reported in the 2nd position under appropriate circumstances in addition to one of the previous anesthesia modifiers:
Modifier Description
QS Monitored anesthesia care service
23 Unusual anesthesia
Note: When using modifier 23, appropriate documentation must be submitted with the claim.

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