CPT code 01714 is used to identify anesthesia services for upper arm tendon surgery, helping streamline healthcare service documentation.
CPT code 01714 is used to describe the anesthesia services provided for surgical procedures on the upper arm, specifically involving tendon surgery. This code is part of the anesthesia section of the Current Procedural Terminology (CPT) coding system, which is used by healthcare providers to report medical, surgical, and diagnostic services to entities such as insurance companies for reimbursement purposes. The use of this code ensures that the anesthesia services related to upper arm tendon surgery are accurately documented and billed.
For CPT code 01714, which pertains to anesthesia services for upper arm tendon surgery, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the anesthesia service provided is significantly greater than typically required. Documentation must support the substantial additional work and the reason for it.
2. Modifier 23 - Unusual Anesthesia: This modifier is applicable when a procedure that usually requires no anesthesia or local anesthesia must be performed under general anesthesia due to unusual circumstances.
3. Modifier 47 - Anesthesia by Surgeon: If the surgeon administers the anesthesia, this modifier is used to indicate that the anesthesia was provided by the surgeon rather than an anesthesiologist.
4. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It may be necessary if multiple procedures are performed and need to be reported separately.
5. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: This modifier is used when the same procedure is repeated by the same provider.
6. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: This modifier is used when the same procedure is repeated by a different provider.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used when a patient requires a return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when a procedure is performed during the postoperative period of another procedure, but is unrelated to the original procedure.
9. Modifier AA - Anesthesia Services Performed Personally by Anesthesiologist: This modifier indicates that the anesthesia services were personally performed by an anesthesiologist.
10. Modifier QK - Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures Involving Qualified Individuals: This modifier is used when an anesthesiologist is directing multiple anesthesia procedures concurrently.
11. Modifier QS - Monitored Anesthesia Care Service: This modifier is used to indicate that monitored anesthesia care was provided.
12. Modifier QX - CRNA Service: With Medical Direction by a Physician: This modifier is used when a Certified Registered Nurse Anesthetist (CRNA) provides anesthesia services under the medical direction of a physician.
13. Modifier QY - Medical Direction of One Certified Registered Nurse Anesthetist (CRNA) by an Anesthesiologist: This modifier is used when an anesthesiologist provides medical direction for one CRNA.
14. Modifier QZ - CRNA Service: Without Medical Direction by a Physician: This modifier is used when a CRNA provides anesthesia services without the medical direction of a physician.
These modifiers help provide additional information about the circumstances under which the anesthesia services were provided, ensuring accurate billing and reimbursement. Proper documentation is essential when using these modifiers to justify their application.
The CPT code 01714, which is related to anesthesia services, is reimbursed by Medicare, provided it meets the necessary criteria outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered. However, reimbursement is contingent upon the specific guidelines and policies set forth by the Medicare Administrative Contractor (MAC) that services your geographic region. Each MAC may have unique coverage determinations and documentation requirements that must be adhered to for successful reimbursement. Therefore, it is crucial for healthcare providers to verify the specific policies of their MAC to ensure compliance and proper reimbursement for CPT code 01714.
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