Wiki Reporting Modifying Units to Medicare

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Hello, I am new to Anesthesia and understand this:
Base units + Time units + Modifying units=Total units (most payers)
Base units + Time units=Total units (Medicare).

So it I have a patient with cpt 00810 with 5 base units and 3.1 Time units documented (47 minutes) and 99140 with 2 modifying units-For Medicare would I just report 00810 (modifier QZ for crna no medical direction) reporting only the 8.3 units (9units?).
The total says 10.1 units on the Anesthesia Charge Sheet for this patient & the coder before me coded 00810-QZ X 11. But since Medicare doesn't count modifying units, would I only report 9?
I code for Anesthesia pro fee for critical access care.
Thanks so much! https://www.icloud.com/photostream/#AB5oqs3qGlcS7s (picture of charge sheet)
 
Medicare will pay for modifying units. The only thing they will not reimburse for is the Physical Status Modifier units. Therefore, you would report your base + time + modifying units to Medicare.

Hope this helps!
 
Medicare does NOT separately reimburse for 99140. I have included the Palmetto guidelines for review: you will find that no Medicare MAC will reimburse for an emergency situation.
http://www.palmettogba.com/Palmetto/Providers.Nsf/files/Anesthesia_Billing_Guide.pdf/$File/Anesthesia_Billing_Guide.pdf
Some commercial payers will pay for 99140......moral of the story......know your payer guidelines.
 
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