AAPC - Back to school
Results 1 to 4 of 4

Thread: 31150 by CRNA ED Dept, please HELP

  1. #1

    Cool 31150 by CRNA ED Dept, please HELP

    AAPC: Back to School
    Our crna has performed 31150 in ED dept and my claims have cpt 31150 and 99140 w/P4 and QZ. Can anyone tell me how to correctly report this service for the CRNA professional charges?

  2. #2
    Join Date
    Apr 2007
    Lincoln, NE



    31150 is not a valid CPT code so I'm not sure what you're billing for.

    Since you indicate this was done in the ED maybe the service was an intubation (31500)?? If the CRNA personally performed an intubation this is a surgical procedure which should be billed at a flat fee rate. In addition, P4 and 99140 are not appropriate for non-anesthesia charges and should not be billed with an intubation.

    Julie, CPC
    Last edited by jdrueppel; 06-18-2009 at 05:26 PM.

  3. #3

    Default cpt 31500 is the correct code

    the claim has 31500 and 99140 and they added P4 and QZ modifiers. So do I only report the 31500 w/POS 23 for ED and do I still need a modifier?

  4. #4
    Join Date
    Apr 2007
    Lincoln, NE


    If the CRNA performed the emergency intubation you, most likely, should not be reporting the P4 or QZ modifier as these are modifiers for anesthesia services. Same goes for the 99140 - this is an anesthesia service add-on code.

    However, we both know that sometimes payers have specific billing guidelines that do not follow CPT modifier guidelines. If you're unsure I would look at how you bill other surgical services (i.e. an aline or block) to this payer to determine necessary modifiers.

    Julie, CPC
    Last edited by jdrueppel; 06-19-2009 at 03:58 PM.

Similar Threads

  1. 401.9 ER Dept
    By ali082005 in forum Emergency Department
    Replies: 1
    Last Post: 12-19-2012, 07:53 AM
  2. Auditing dept vs billing dept
    By terridiaz in forum Auditing General Discussion
    Replies: 1
    Last Post: 06-11-2012, 02:20 PM
  3. Facility E/M for Infusion Dept
    By raemitch78 in forum E/M
    Replies: 0
    Last Post: 12-03-2009, 08:45 AM
  4. Emergency Dept
    By seegaye in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-09-2009, 08:02 AM
  5. dept or labor
    By buckeyes8106 in forum Employment General Discussion
    Replies: 0
    Last Post: 11-28-2007, 12:14 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.