Wiki anesthesia CPT code with P modifier

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wmehlhaff

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Was taught to add the P modifier to the 5 digit anesthesia CPT code if it was a P3 or higher, and the AAPC study guide does indicate to append the P modifier to the code. However, I just found out that our computer system at work is actually not calculating correctly and the P modifier isn't showing up on the claim(only in the modifier field). Does anybody bill just the CPT code without the P modifier attached and only put the P modifier in the modifier field, or are you doing both? Example 01215P3 with modifier QKP3, versus 01215 with modifier QKP3? TIA!!!
 
We use the P modifier only when the carrier allows it. It is entered in the second modifier field. 1st modifier is the QK( or whatever is applicable) and second modifier is the P modifier. Some carriers pay additional units.
 
Tammy, in the instances where the carrier does allow the P modifier, do you only report it in the modifier field, or do you also attach it directly to the CPT code? Wendy
 
Modifiers always be in the modifier field. No more than 5 digits should be in the CPT/HCPCS code field, otherwise you will likely get denied for invalid code..
 
We do not insert the modifier next to the anesthesia code. It is placed in the second modifier position.
 
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