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-P3 and -P4 modifiers

karen57

Networker
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40
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0
I've been told that -P3 and -P4 are considered bundled by CMS but am having trouble finding anything to support this. Does anyone have any references I can check out, or is this even correct?

Thanks!
 

srinivas r sajja

True Blue
Messages
533
Location
Hyderabad, Hyderabad
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Anesthesia Physical Status Modifier Fact Sheet
Definition
P1 - A normal healthy patient
P2 - A patient with mild systemic disease
P3 - A patient with severe systemic disease
P4 - A patient with severe systemic disease that is a constant threat to life
P5 - A moribund patient who is not expected to survive without the operation
P6 - A declared brain-dead patient whose organs are being removed for donor purposes
Appropriate Usage
Append to anesthesia service/procedure codes
The modifiers are informational only and do not affect payment Inappropriate Usage
Appending this modifier to CPT codes 00100 through 01999 - Anesthesia Codes
Appending the modifier for a situation other than the one described by the descriptor

http://www.wpsmedicare.com/part_b/resources/modifiers/modifier-anes-physstatus.shtml
 

twizzle

True Blue
Messages
1,284
Location
Bradenton, FL
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0
P3 and P4

I've been told that -P3 and -P4 are considered bundled by CMS but am having trouble finding anything to support this. Does anyone have any references I can check out, or is this even correct?

Thanks!
Medicare doesn't recognize the physical status modifiers.
 
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