47 - JE Part B
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)
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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