US DEPARTMENT OF LABOR OFFICE OF WORKERS COMPENSATION PROGRAMS

US DEPARTMENT OF LABOR OFFICE OF WORKERS COMPENSATION PROGRAMS - Description


OWCP MEDICAL FEE SCHEDULE -- Effective February 27 2017Anesthesia ModifiersFile EffectiveFebruary272017anesthesiatableswithbaseunitsxlsidentify the detail on a claim Every anesthesia procedure billed Download

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1 U.S. DEPARTMENT OF LABOR, OFFICE OF WORK
U.S. DEPARTMENT OF LABOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS OWCP MEDICAL FEE SCHEDULE -- Effective February 27, 2017 Anesthesia Modifiers File: Effective_February_27_2017_anesthesia_tables_with_base_units.xls identify the detail on a claim. Every anesthesia procedure billed to OWCP must include one of the following anesthesia modifiers: AA, QY, QK, AD, QX or QZ. Anesthesiologist Modifier Description Multiple AA Anesthesia services personally performed by the anesthesiologist 100% QY Medical direction of one CRNA by an anesthesiologist 50% QK Medical direction of two, three or four concurrent anesthesia procedures AD Supervision, more than four procedures ** ** Payment to the anesthesiologist will be based on three base units per procedure when the anesthesiologist is involved in furnishing more than four procedures concurrently or is performing other services while directing CRNA Modifier Description Multiple QX Anesthesia, CRNA medically directed 50% QZ Anesthesia, CRNA not medically directed Informational (no additional payment for informational modifiers) Modifier Description QS Monitored anesthesia care (MAC) servcies (can be billed by CRNA or physician G8 G9 Monitored Anesthesia Care (MAC) for patient who has history of severe cardiopulmonary condition P1 A normal healthy patient P2 A patient with mild systemic disease P3 A patient with severe systemic disease P4 A patient with server systemic disease that is a constant threat to life P5 A moribund patient who is not expected to survive without the operation P6 A declared brain-dead patient whose organs are being removed for donor purposes

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