Wiki Reporting Modifying Units to Medicare

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Hello, I am new to Anesthesia and understand this:
Base units + Time units + Modifying units=Total units (most payers)
Base units + Time units=Total units (Medicare).

So it I have a patient with cpt 00810 with 5 base units and 3.1 Time units documented (47 minutes) and 99140 with 2 modifying units-For Medicare would I just report 00810 (modifier QZ for crna no medical direction) reporting only the 8.3 units (9units?).
The total says 10.1 units on the Anesthesia Charge Sheet for this patient & the coder before me coded 00810-QZ X 11. But since Medicare doesn't count modifying units, would I only report 9?
I code for Anesthesia pro fee for critical access care.
Thanks so much! https://www.icloud.com/photostream/#AB5oqs3qGlcS7s (picture of charge sheet)

 

[Amy Pritchett]

Medicare will pay for modifying units. The only thing they will not reimburse for is the Physical Status Modifier units. Therefore, you would report your base + time + modifying units to Medicare.

Hope this helps!

 

[Michele Hannon]

Medicare does NOT separately reimburse for 99140. I have included the Palmetto guidelines for review: you will find that no Medicare MAC will reimburse for an emergency situation.
http://www.palmettogba.com/Palmetto/Providers.Nsf/files/Anesthesia_Billing_Guide.pdf/$File/Anesthesia_Billing_Guide.pdf
Some commercial payers will pay for 99140......moral of the story......know your payer guidelines.