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Anesthesia coding/billing for POS 11

  1. Question Anesthesia coding/billing for POS 11
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    How/can I bill for anesthesia services done at POS 11 in office? For example, CRNA administered anesthesia for a kyphoplasty case that was in office. Is there a modifier that should be billed besides the QZ?

  2. #2
    There should be no additional modifier needed for office procedures vs. in a facility.

    Keep in mind, depending on the state, there are strict guidelines with some insurances that require the physical status of the patient to qualify for at least a P3 or higher with the qualifying diagnosis codes to meet coverage requirements.

    Check policy and coverage determinations for your state.
    ~Melissa, CPC

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