Wiki Physical status modifiers

[mkndevh@msn.com]

HI! Fairly new to anesthesia coding and was looking for a little clarification on dxs for Physical Status Modifiers. To bill for the P3-P5 does the dx have to be different from the primary dx (an underlying condition)? I was trained that is does, but wanting to make sure that's correct?!! TIA!

 

[AlaskanCoder]

The first-listed diagnosis should always be the reason for the surgery. It is my understanding that it is not required to have the diagnosis(es) that supports the physical status modifiers, however, I do use them as additional diagnoses when space allows (only 4 ICD-10-CM codes per CPT code.)

Karen
CCS-P, CPC, CPB, CPMA, CPC-I

 

[mkndevh@msn.com]

thank you! we have one payer that requires a secondary dx for the PSM. So we provide for all payers.