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You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , t...

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.

1. A 77-year old healthy male patient with controlled diabetes mellitus underwent intraocular lens transplant surgery for which general anesthesia was administered.

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2. A healthy 36-year old female underwent tubal ligation under general anesthesia for voluntary sterilization.

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3. An anesthesiologist provided physiologic support for harvesting organs from a brain-dead patient.

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4. A 14-year old Down syndrome male was stepped on by a horse. Upon radiologic exam, it was noted that the boy had a trimalleolar fracture. He underwent closed treatment of the fracture without manipulation under general anesthesia.

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5. 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.

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6. A 78-year old female smoker was admitted for shortness of breath, hypertension, and bloody sputum. She was diagnosed with pneumonia and underwent pneumocentesis performed under general anesthesia.

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7. A healthy 14-year old male fell while skateboarding and landed on his back. After radiologic exam, he was diagnosed with fractured sacroiliac joint. Open treatment of the anterior ring fracture was performed under general anesthesia.

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8. A 57-year old female with a history of osteoporosis underwent posterior arthrodesis in the craniocervical (occipital C2) region. General anesthesia was administered.

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9. A volunteer offered bone marrow to a needy recipient. He underwent bone marrow aspiration of the posterior iliac crest with general anesthesia to provide a sample to test for a match. The donor has no chronic or current medical conditions.

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10. A healthy 38-year old male requested voluntary sterilization and underwent vasectomy. Regional anesthesia was administered.

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Answer #1

Qualifying Circumstances Modifier codes:

1. ANS: 00142 P2, 99100

2. ANS: 00851-P1

4. ANS: 01462-P3

7. ANS: 01170-P1

8. ANS: 00600 Anesthesia for procedure on C spine and cord, not specified P2 patient with mild systemic disease AA

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