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Contributor
Can I get some clarification on billing for anesthesia when performed by Anesthesiologist supervising and the CRNA. I was told to use the anesthesia code with QK and the anesthesia code with QX.
I thought if Anesthesiologist performs medical direction to CRNA, he would use QY and CRNA would use QX and they would share the reimbursement of 50% each.
Physician Anesthesia Services: Medical direction of one qualified nonphysician anesthesia procedure.
i. Report medical direction of one CRNA anesthesia procedure with modifier QY.
ii. Services submitted with modifier QY will be reimbursed at 50% of the applicable fee schedule rate.
CRNA services: Medically directed.
i. Report modifier QX for CRNA anesthesia services provided with medical direction by a physician.
ii. Services submitted with modifiers QX will be reimbursed at 50% of the applicable fee schedule rate, due to the supervision/services shared between two providers.
I thought if Anesthesiologist performs medical direction to CRNA, he would use QY and CRNA would use QX and they would share the reimbursement of 50% each.
Physician Anesthesia Services: Medical direction of one qualified nonphysician anesthesia procedure.
i. Report medical direction of one CRNA anesthesia procedure with modifier QY.
ii. Services submitted with modifier QY will be reimbursed at 50% of the applicable fee schedule rate.
CRNA services: Medically directed.
i. Report modifier QX for CRNA anesthesia services provided with medical direction by a physician.
ii. Services submitted with modifiers QX will be reimbursed at 50% of the applicable fee schedule rate, due to the supervision/services shared between two providers.
