Author Topic: anesthesia modifiers  (Read 2517 times)

elefantelove

  • Newbie
  • *
  • Posts: 4
anesthesia modifiers
« on: October 20, 2011, 01:58:17 PM »
what modifier is used when a surgeon first uses local anesthesia during an appendectomy, but then needs to use general anesthesia due to the infected area spreading? do i use modifier -22? also what would be the patients physical status code? p-2 or p-3?

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4700
    • Solutions Medical Billing
Re: anesthesia modifiers
« Reply #1 on: October 21, 2011, 07:47:57 AM »
The physical status of the patient can only be determined by the doctor.  I don't believe modifier 22 is appropriate for what you are describing but I have limited information.  I believe you would just use the procedure code for the surgery along with appropriate units for time, physical status, and any other things that may have affected the procedure.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

elefantelove

  • Newbie
  • *
  • Posts: 4
Re: anesthesia modifiers
« Reply #2 on: October 21, 2011, 11:33:37 AM »
this is the scenerio: Tina was to be operated on for appendectomy. Local anesthesia was applied to the affected part. During the surgery, the surgeons discovered that the infection had spread to a larger area. To attend to the other portions, they decided to administer general anesthesia. Discuss and explain which modifier will be used to identify her condition.



PMRNC

  • Hero Member
  • *****
  • Posts: 4212
    • One Stop Resources & Networking for Medical Billers
Re: anesthesia modifiers
« Reply #3 on: October 25, 2011, 06:50:08 AM »
Coding questions like that really shouldn't be done via message board, the physician/provider would really need to either code, have a CPC code, and the actual medical record is needed.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4700
    • Solutions Medical Billing
Re: anesthesia modifiers
« Reply #4 on: October 25, 2011, 11:21:39 AM »
I agree with Linda.  Even with info provided it is hard to answer this question.  I have an idea of what you are asking but I'm not aware of a modifier.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com