Modifier 47

Anesthesia by Surgeon

Instructions

  • Surgical allowable based on 50 percent of Medicare Physician Fee Schedule (MPFS)

Correct Use

  • Regional/general anesthesia provided by surgeon/attending surgeon only 
  • Append to basic surgical service/procedure only

Incorrect Use

  • Surgeon performs both surgery/anesthesia, separate payment not allowed
  • Anesthesiologist not covered with this modifier
  • Do not use with anesthesia codes or local anesthesia
  • Do not use with moderate sedation (CPT 99143 - 99145)
  • Do not use for monitoring general anesthesia provided by Certified Registered Nurse Anesthetist (CRNA), intern, anesthesiologist or resident
     

Last Updated Wed, 10 Apr 2019 11:54:56 +0000