hannabanana
New
Is an anesthesia modifier such as AA required on 01996? I am getting conflicting info from different sources and need some expert advise!!
thanks,
Hannah
thanks,
Hannah
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Modifier on 01996?
- Thread starter hannabanana
- Start date
Walker22
Guest
If I'm not mistaken, 01996 is for the hospital to bill to get reimbursed for the daily maintenance of an indwelling catheter. A physician is not normally involved in this, so AA would not be appropriate.
hgolfos
Guru
Actually, 01996 is most commonly used by anesthesiologists for follow up care for continuous epidural catheters. Some payers, such as Medicare of GA, AL and MS require an AA mod, even though it isn't for anesthesia, it is technically in the anesthesia section of CPT. So, my answer is yes, but check with your carrier. Hope this helps
jdrueppel
Guest
I'm located in Nebraska and none of my payers (commercial or governmental) require a modifier on the 01996 code.
Julie, CPC
Julie, CPC
fuga
Networker
Check in your payer policies for anesthesia - most don't but some do (In Mass - HPHC and Fallon for example). Others will deny the claim if you attach AA - and the payer doesn't want it.