Medical Supervision modifier questions

ukesony

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Surprise, AZ
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I have two questions regarding billing for Anesthesiologist and CRNA in a medical supervision model (criteria for medical direction is not being met - supervision only).

1) What modifier do I bill the Anesthesiologist claim with for 1-4 concurrent sanesthesia services? There is only a modifier (AD) for 5 or more.
2) What modifier do I bill the CRNA claim with? There is not a modifier for a medically supervised CRNA, only medically directed.

Payer wants both Anesthesiologist and CRNA billed.
 

cbaldia

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AD is appropriate for medical supervision- regardless of the number of cases. If medical direction is NOT being met it is AD NOT QK.
The QX is appropriate for the CRNA charge, as there was physician oversight (supervision)
 
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