Anesthesia Coding Alert

Question: I have a CRNA who practices solo at a surgery center doing cataract anesthesia for Medicare patients. I have been unable to get Medicare to pay a peribulbar block. I reported 01991 with modifier QZ and Medicare denied my claim for the modifier. I billed again without a modifier and Medicare denied that claim also. How should I report the block? Oklahoma Subscriber Answer: Your CRNA isnt providing anesthesia to place the block (01991, Anesthesia for diagnostic or therapeutic nerve blocks and injections [when block or injection is performed by a different provider]; other than the prone position), she is providing anesthesia for the cataract surgery. Report the cataract anesthesia service with 00142 (Anesthesia for procedures on eye; lens surgery) and append modifier QZ (CRNA service: without medical direction by a physician). Your CRNA may be able to bill discontinuous time for the block if she is actually placing [...]