Anesthesia modifiers
Modifier
| Description |
|---|
PS Modifiers (Physical Status)
(Priority Health accepts these modifiers, but they do not affect payment) |
| P1 |
A normal healthy patient |
| P2 |
A patient with mild systemic disease |
| P3 |
A patient with severe systemic disease |
| P4 |
A patient with severe systemic disease that is a constant threat to life |
| P5 |
A moribund patient who is not expected to survive without the operation |
| P6 |
A declared brain-dead patient whose organs are removed for donor purposes |
| Modifiers |
| -22 |
Unusual Procedure Service: use the Explanation form (17KB PDF) |
| -23 |
Unusual Anesthesia ( Usually done under local but requires general) |
| -32 |
Mandated Services (Related to mandated consult or service) |
| -47 |
Anesthesia by Surgeon (Attached to the appropriate surgery code) |
| -51 |
Multiple Procedures |
| -53 |
Discontinued Procedures |
| -59 |
Distinct Procedural Service |
| HCPCS Level II Modifiers |
| QB |
Physician provided service in a rural HPSA |
| QK |
Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals |
| QS |
Monitored anesthesia care service (MAC) |
| QX |
CRNA service: with medical direction by a physician |
| QY |
Medical direction of one CRNA by an anesthesiologist |
| QZ |
CRNA service: without medical direction by a physician |
Anesthesia rendered by a CRNA must list QX, QY or QZ.
