Wiki Anthem Virginia and 01996

[njb3d]

Anthem is telling us they need an anesthesia modifier on CPT 01996 (AA, QK, etc). I'm a new coder, and it doesn't look correct. I'm curious if anyone else is having the same issue? Are you adding a modifier or are you fighting it?

 

[CodingKing]

If they are following medicare guidelines that is correct. Medical Direction modifier is required and should be in the first modifier position.