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Wiki Anesthesia administered by MD, need modifier help

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vanmom30

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I have a non-anesthesiologist MD that works in PICU and administers anesthesia (versed, ketamine and propofol) to pediatric pts for procedures (Echos, Lumbar Punctures, bone marrow aspirations, etc). I am having a hard time finding a modifier that I can use for these services performed by an MD. I have used QS, but the insurance denies stating, 'need other modifier primary'. Please help!!

thanks in advance.
 
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vanmom30 said:
I have a non-anesthesiologist MD that works in PICU and administers anesthesia (versed, ketamine and propofol) to pediatric pts for procedures (Echos, Lumbar Punctures, bone marrow aspirations, etc). I am having a hard time finding a modifier that I can use for these services performed by an MD. I have used QS, but the insurance denies stating, 'need other modifier primary'. Please help!!

thanks in advance.
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You need to verify if the non-anesthesiologist MD is providing Anesthesia or Moderate or Deep Sedation. Which if it is Moderate Sedation there are separate billable codes if the documentation supports it.
 
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