Wiki Anesthesia Modifiers - Can anyone tell me what should

[vbbeast1963]

Can anyone tell me what should be with the billing if a CRNA starts the case and is there 51% of the time and then a resident takes over for the remaining 49%. Which Modifier should be put on the attending, Resident and CRNA. Should you split the bill or does the CRNA get credit for the whole case?

 

[LeslieJ]

Anesthesia Modifiers

If the CRNA is medically directing the Resident,

1.) don't bill for the resident
2.) bill QZ-GC for the CRNA - the GC modifier indicates that the CRNA is teaching a resident

To find the best information on this, go to CMS IOM 100-04, Chapter 12 & do a search for "Teaching CRNA".

There are utilization guidelines on this, such as how many residents they can oversee & all that. Very helpful.

Some payers don't recognize teaching CRNA/anesthesiologists, so what I'm telling you may be payer specific.

Leslie Johnson

 

[vbbeast1963]

Split billing with Attending/Resident and CRNA

If there is a Anesthesiologist supervising and they start a case with a CRNA and finishes with a resident. How would you bill?

Thanks