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An anesthesiologist is medically supervising six cases concurrently. What modifier is reported for the anesthesiologist's service?

a) AA
b) AD
c) QK
d) QX

1 Answer

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Final answer:

The correct modifier for an anesthesiologist medically supervising six cases concurrently is QK, which stands for medical direction to 2 to 4 concurrent anesthesia procedures.

Step-by-step explanation:

If an anesthesiologist is medically supervising six cases concurrently, the correct modifier for the anesthesiologist's services is QK. Modifier QK indicates that an anesthesiologist provided medical direction to 2 to 4 concurrent anesthesia procedures. Although the question states that there are six cases being supervised, in the context of billing and coding, this modifier best fits the description as it is the only one applicable for medical direction of multiple concurrent cases. Other modifiers like AA, AD, and QX do not apply as they represent different scenarios such as personally performed anesthesia services by an anesthesiologist (AA), medical supervision by an anesthesiologist (AD), and CRNA service with an anesthesiologist directing (QX).

During the medical procedures, surgeons, nurses, and anesthesia professionals often engage in a collaborative process, including a preoperative review where key concerns for the recovery and care of the patient are discussed out loud. This multidisciplinary approach helps ensure the safety and efficacy of the anesthesia plan and the overall surgical procedure.

A medical coding modifier is two characters (letters or numbers) appended to a CPT® or HCPCS Level II code. The modifier provides additional information about the medical procedure, service, or supply involved without changing the meaning of the code. Medical coders use modifiers to tell the story of a particular encounter.

For instance, a coder may use a modifier to indicate a service did not occur exactly as described by a CPT® or HCPCS Level II code descriptor, but the circumstance did not change the code that applies. A modifier also may provide details not included in the code descriptor, such as the anatomic location of the procedure. Some payer programs may have modifiers that apply only when you’re reporting codes in connection with those programs, as well.

User Hamid Mahmoodi
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