I am fairly new to coding surgeries and the first thing I asked is why we do not use the QS modifier here at our facility. The answer I received was that the "new person" in billing said that we don't really need to use it. With that being said, they have not been using it at all and we are not getting denials unless someone in billing is adding it later in the process and I do not know about it. We are using it as a primary method on most of our surgeries. We are a critical access hospital with specialty clinic and rural health clinic attached. Very small rural hospital. What would be the reason that we are not required to use this modifier, when by all rights, I was trained to use it at my previous place of employment. If anyone has a great article/info about aneasthesia coding let me know as I am always looking to be educated. Thank you.