TMPPM 2007 >15.3.1 Claims Management Modifiers

15.3.1 Claims Management Modifiers

CRNAs bill using CPT anesthesia procedure codes and either the QX or QZ modifier.


CRNA Modifier	Description	Time divided by	RVU reduction
QX	CRNA medically directed by the anesthesiologist [RVU + (Minutes / 15)] x Conversion Factor = Allowed amount	15 min	0 %
QZ	CRNA not medically directed by the anesthesiologist; surgeon directing [RVU + (Minutes / 15)] x Conversion Factor = Allowed Amount	15 min	0 %

Refer to: "Anesthesia" for more information on the reimbursement of anesthesia services.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.