TMPPM 2010 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Procedures and Services > Anesthesia > Anesthesia Modifiers

   
 

6.3.4.10.2 Modifier Combinations

Modifiers AA and U1 must be submitted when an anesthesiologist has personally performed the anesthesia service.

Anesthesiologists may be reimbursed for medical direction of anesthesia practitioners by using one of the following modifier combinations:

Modifier Combination Submitted by Anesthesiologist
When is it used?
Who will submit claims?

Anesthesiologist Directing Non-CRNA Qualified Professionals

QY and U1

When directing one procedure provided by a non-CRNA qualified professional.

Only the anesthesiologist

QK and U1

When directing two, three, or four concurrent procedures provided by non-CRNA qualified professionals.

Only the anesthesiologist

AD and U1 (Emergency circumstances only)

When directing five or more concurrent procedures provided by non-CRNA qualified professionals. Used in emergency circumstances only and limited to 6 units (90 minutes) per case for each occurrence requiring five or more concurrent procedures.

Only the anesthesiologist

Anesthesiologist Directing CRNAs

QY and U2

When directing one procedure provided by a CRNA.

Both the anesthesiologist and CRNA

QK and U2

When directing two, three, or four concurrent procedures involving CRNA(s).

Both the anesthesiologist and CRNA

AD and U2 (Emergency circumstances only)

When directing five or more concurrent procedures involving CRNA(s). Used in emergency circumstances only and limited to 6 units (90 minutes) per case for each occurrence requiring five or more concurrent procedures.

Both the anesthesiologist and CRNA

Texas Medicaid & Healthcare Partnership
CPT only copyright 2009 American Medical Association. All rights reserved.
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