Question: I know we need to include modifier Q6 for a locum tenens claim. If the physician acting as locums is also personally performing the service, do we also include modifier AA? Rhode Island Subscriber Answer: Yes, you are correct: include both modifiers on the claim. Payment modifier AA (Anesthesia services performed personally by anesthesiologist) should be reported in the first position and informational modifier Q6 (Service furnished by a locum tenens physician) should be reported in the second position when an anesthesiologist working with your practice as locum tenens is personally administering the anesthesia.