AAPC - Back to school
Results 1 to 4 of 4

Thread: Physical Status codes

  1. #1
    Join Date
    Apr 2007
    Columbus, Ohio

    Question Physical Status codes?

    AAPC: Back to School
    I'm looking for the guidelines for the physical status codes to show to a doctor. We work for a group of anesthesiologists and CRNAs and we are told to bill the p3 and p4 a lot, and myself and the other biller feel that much of the time, those modifiers are inappropriate. We know what each modifier is, but we can't find anything stating when it is appropriate to use them, and what diagnoses are valid with them. Can anyone tell me where to find this? Thanks in advance!!
    Taryn N. Linstedt, CPC

  2. #2
    Join Date
    Apr 2007
    Modesto, CA; Central Valley Chapter

    Default Physical status codes

    The P-modifiers can be found in the Anesthesia Relative Value Guide, which I found has a lot of good information in it. You can also find them in the CPT book.

    They are pretty straight forward, I think.

    P3 can be used for diabetic patients; while I have seen P4 used for diabetic patients whose blood sugar was uncontrolled.

    Hope this helps
    Tina, CPC-I

  3. #3
    Join Date
    Apr 2007


    I agree with codingangel. If you are billing for anesthesia, you will really appreciate getting the Anesthesia RV Guide book. It will clear up a lot of confusion on using the status modifiers.
    Jason Steeprow, CPC

  4. #4
    Join Date
    Apr 2007
    Jacksonville, Florida - 90417


    Nor will you find anything. If you go out to the website of the American Society of Anesthesiologists (http://www.asahq.org/Newsletters/200.../vent_0902.htm) you will see an article which addresses the inappropriate use of physical status modifiers as some mechanism for determining operative risk.

    If you do a search on the ASA's website with "physical status" the first link that comes up lists the modifiers and their descriptions. There is also a very emphatic note under the list that states, "These definitions appear in each annual edition of the ASA Relative Value Guide. There is no additional information that will help you further define these categories."

    Maryann Palmeter, CPC

Similar Threads

  1. Anesthesia- Physical Status modifiers
    By sbarrila in forum Anesthesia
    Replies: 1
    Last Post: 02-21-2013, 08:37 AM
  2. Physical Status Modifiers
    By Katie18713 in forum Modifiers
    Replies: 1
    Last Post: 08-30-2012, 09:03 AM
  3. physical status modifier
    By justcode in forum Anesthesia
    Replies: 1
    Last Post: 12-02-2010, 12:28 PM
  4. Use of physical status modifiers
    By elisaarb in forum Anesthesia
    Replies: 1
    Last Post: 08-06-2010, 08:08 AM
  5. Physical Status Modifiers
    By mad_one80 in forum Anesthesia
    Replies: 1
    Last Post: 01-21-2009, 06:19 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.