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Wiki Anesthesia Modifiers - Can anyone tell me what should

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vbbeast1963

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Can anyone tell me what should be with the billing if a CRNA starts the case and is there 51% of the time and then a resident takes over for the remaining 49%. Which Modifier should be put on the attending, Resident and CRNA. Should you split the bill or does the CRNA get credit for the whole case?
 
Anesthesia Modifiers

If the CRNA is medically directing the Resident,

1.) don't bill for the resident
2.) bill QZ-GC for the CRNA - the GC modifier indicates that the CRNA is teaching a resident

To find the best information on this, go to CMS IOM 100-04, Chapter 12 & do a search for "Teaching CRNA".

There are utilization guidelines on this, such as how many residents they can oversee & all that. Very helpful.

Some payers don't recognize teaching CRNA/anesthesiologists, so what I'm telling you may be payer specific.

Leslie Johnson
 
Split billing with Attending/Resident and CRNA

If there is a Anesthesiologist supervising and they start a case with a CRNA and finishes with a resident. How would you bill?

Thanks
 
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