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