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Wiki 01991/01992

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gmohammad

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REALLY NEED HELP: confused:

so it seems that insurance company are declining payments if the codes are being used as follows 01991/01992 which is the lateral and prone position.
so if I use 01936 then what would be the best modifier to use unless I am completely doing this wrong.
these are used for facet injections and marked by physician.
if some one is in pain management please HELP.
THANKS
 
01936 if performed by anesthesiologist other than the physician performing the procedure or by a CRNA----Modifiers would reported similar to how you are reporting 01991 or 01992

Most likely it would be MAC less than 60 minutes ---if less than 60 min and MAC

By a CRNA

01936 QZ QS
4256F

By MD alone----AA QS
By MD and CRNA QY/QX QS
By MD and CRNA QK/QX QS
 
I added 4256F to point out that 01936 is subject to PQRS reporting for perioperative temperature management versus 01992/01991 which are not.
 
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