AAPC - Back to school
Results 1 to 5 of 5

Thread: Anesthesia Billing with CRNA

  1. #1

    Default Anesthesia Billing with CRNA

    AAPC: Back to School
    Fact #1: The following are modifiers that Medicare require to be used for the billing of anesthesia services:
    AA: Anesthesia services by a physician; more than four concurrent anesthesia procedures
    AD: Medical supervision by a physician: more than four concurrent anesthesia procedures
    QK: Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals
    QS: Monitored anesthesia care service
    QX: CRNA service; with medical direction by a physician
    QZ: CRNA service; without medical direction by a physician

    Fact #2: Patient had anesthesia performed by a CRNA. CRNA’s name was on the anesthesia report as providing anesthesia as well as post op sign off.

    Fact #3: Claim was submitted to insurance with an AA modifier and the anesthesiologists name as the rendering provider.

    Question: Was this claim billed correctly?

    Thanks in advance for your help!

  2. #2
    Join Date
    Apr 2007



    AA = Anesthesia services performed personally by anesthesiologist.

    The claim should be filed under the name of the CRNA with the appropriate modifier.

    If the anesthesiologist was present and provided medical direction or supervision than you would also file a claim under his name with appropriate modifer.


  3. #3

    Default Supervision definition

    Thank you! Can you point me in the direction (assuming it exists) of what Medicare defines as supervision requirements to bill as supervision and/or medical direction?

  4. #4
    Join Date
    Apr 2007
    Virginia Beach Local Chapter


    You should go to your Medicare carriers website and put in Anesthesia billing and you should be able to obtain everything you need to bill the anesthesia services with the correct guidelines and modifiers. Make sure to check you LCD edits for your services as well. Hope this helps.

    AAPC-CA BOD 2015 - 2017
    Region 3: Virginia, West Virginia, North Carolina, South Carolina, & Kentucky


    Nothing is impossible, the word itself says ‘I’m possible’!
    -Audrey Hepburn

  5. #5

Similar Threads

  1. Replies: 1
    Last Post: 03-07-2014, 03:03 PM
  2. CRNA billing Opthalmology Anesthesia
    By jaciwismar in forum Anesthesia
    Replies: 0
    Last Post: 11-04-2011, 11:36 AM
  3. Replies: 1
    Last Post: 12-29-2010, 08:25 PM
  4. Anesthesia/CRNA Billing Question
    By mthompson01 in forum Anesthesia
    Replies: 1
    Last Post: 12-18-2008, 08:12 AM
  5. Anesthesia/crna's
    By mthompson01 in forum Anesthesia
    Replies: 0
    Last Post: 11-03-2008, 01:21 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.