Certified Registered Nurse Anesthetist (CRNA) - JE Part B
Certified Registered Nurse Anesthetist (CRNA)
CRNA licensed professional nurse who is licensed by the state in which the nurse practices and provides anesthesia/related services consistent with
- State scope of practice, training and clinical privileges
- Settings include Ambulatory Surgical Center (ASC), office or outpatient hospital
- May submit claims to Medicare directly for their services or have payment made to an employer or an entity under which they have a contract
- Specialty code 43
- May draw blood gases, insert arterial lines, place peripherally inserted central venous catheters (PICCs) and central venous pressure (CVPs) monitors
- Consistent with formal guidelines and instructions
- With skills assessment provided during training
Locum Tenens arrangements do not apply to CRNAs and AAs.
"Incident To"
- "Nerve Blocks" may be reimbursed as part of physicians or Non Physician Practitioners (NPP) patient management with chronic pain
- NPP include
- Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), and Physician Assistant (PA)
- NPP include
- If CRNA is
- Advanced Registered Nurse Practitioner (ARNP)
- CNS
- "Incident to" a physician or NPP
Modifiers
CPT/HCPCS | Append Modifier |
---|---|
00100-01999 | QZ |
31500, 36410, 36600, 36620, 36555-36569, 62273 | QX or QZ |
62270, 62310, 62311, 62318, 62319, 64400-64530 | 59 (no Q modifiers) |
01996 | Without Q modifiers |
76937 | No 59/Q modifiers |
77003 (UNLESS billed with 64479-64484, 64490-64495) | No Q modifiers |
0213T-0218T | No modifiers |