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Thread: Use of physical status modifiers

  1. #1
    Join Date
    Apr 2007

    Default Use of physical status modifiers

    AAPC: Back to School
    This may seem like a inane ridiculous question but i need support on this one....the head coder in my office seems to think that you can attach the same physical modifier to both the anesthesiologist and the crna codes on the same claim ie:
    Oo840 qkp4
    00840 qxp4
    now according to what i have learned the p4 modifier should only be attached to the one not both (most likely the anesthesiologists code for reimbursement)

    - please reply thanks!!!!

  2. #2
    Join Date
    Apr 2007
    Boardman, Ohio


    if your billing for dr/crna ALL modifers are appended. it depends on the insurance company as well, but if your system is setup (at the ins level) then yes QKP4/QXP4 would appear on the claim. Some companies do not recogonize the physical status for reimbursement.

    hope this helps
    Julie S., CPC
    Anesthesia Coder
    Education Officer, Cleveland Area Chapter 2016
    Email: medcoder05@gmail.com

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