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A 37-year old male has recurring back pain. he underwent spinal disk surgery and continued to...

A 37-year old male has recurring back pain. he underwent spinal disk surgery and continued to need daily epidural continuous drug anesthesia while in the hospital.



Instructions: Review each case and assign the appropriate anesthesia codes and physical status modifiers. All anesthesia services were provided by the anesthesiologist.

You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code.

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1. Physical status modifier for lower back ache due to spinal disk surgery is " P5 ", because here the patient cannot expect survive with out operation, so physical status modifier is P5.

2. HCPCS modifier for the person providing the anesthesia is - 47. It is personally performed.

3. Qualifying circumstance code for spinal disk surgery and need epidural anesthesia is 62318 and 62319.

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