Wiki Correct Modifiers for MDA SUPERVISING a CRNA


Local Chapter Officer
Cape Girardeau, MO
Best answers
Patient is having a colonoscopy.
MDA is supervising, not directing, the CRNA.
What are the modifiers for the CRNA and MDA in this situation?

The verbiage for the modifiers is confusing. QZ is for a CRNA that is not being Medically Directed. There is no mention of supervision.

I'm looking for a good solid resource to clarify this for me.
We do in office Kyphoplasty that now allows for the sedation billing. Our CRNAs bill our practice for their services, we bill the sedation 99152/99153 because the surgeon is "self-supervises" the CRNA during the procedure.

At the beginning of the year we tried the Q modifiers but were getting denied. KZA gave us this tip at our last meeting

Code 99151-99153: Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer(CRNA) to assist in the monitoring of the patients level of consciousness and physiological status; initial 15 minutes of intraservice time

Hope that helps