The definition of the QZ modifier by Medicare is for a CRNA service without medical direction by a physician. According to the report, for Medicare, medical direction is not achieved unless the ...

Unlike most specialties, anesthesia billing is time-based. Payers differ in how they calculate time units — Medicare uses decimals, while some commercial plans round to whole numbers — creating added ...

You would need to append modifier 59 to tell the insurance “this is separate from the anesthesia”. Documentation from the surgeon stating he/she requested the lumbar epidural for post-op pain is ...

You would need to append modifier 59 to tell the insurance “this is separate from the anesthesia”. Documentation from the surgeon stating he/she requested the lumbar epidural for post-op pain is ...