CPT code 01744 is used for anesthesia services during surgical repair of the humerus, ensuring accurate procedure documentation.
CPT code 01744 is used to describe anesthesia services provided for procedures involving the repair of the humerus, which is the bone of the upper arm. This code is specifically utilized by anesthesiologists and other healthcare professionals to document and bill for the anesthesia care given during surgical interventions aimed at repairing fractures, dislocations, or other injuries to the humerus. The use of this code ensures accurate billing and reimbursement for the anesthesia services associated with these orthopedic procedures.
For CPT code 01744, which pertains to anesthesia services for humerus repair, several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used:
1. Modifier 22 (Increased Procedural Services): Used when the work required to provide the service is substantially greater than typically required. This could apply if the anesthesia service was more complex or time-consuming than usual.
2. Modifier 23 (Unusual Anesthesia): 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): Used when the surgeon administers regional or general anesthesia to the patient. This is not typically used for anesthesia codes but may be relevant in certain situations.
4. Modifier 59 (Distinct Procedural Service): Indicates that a procedure or service was distinct or independent from other services performed on the same day. This could be relevant if multiple procedures are performed and need to be billed separately.
5. Modifier 76 (Repeat Procedure by Same Physician): Used when the same procedure is repeated by the same physician. This might apply if the anesthesia service had to be repeated for some reason.
6. Modifier 77 (Repeat Procedure by Another Physician): Similar to Modifier 76, but used when the repeat procedure is performed by a different physician.
7. Modifier 78 (Unplanned Return to the Operating/Procedure Room): Used when a patient returns to the operating room for a related procedure during the postoperative period.
8. Modifier 79 (Unrelated Procedure or Service by the Same Physician): Used when an unrelated procedure is performed by the same physician during the postoperative period.
9. Modifier AA (Anesthesia Services Performed Personally by Anesthesiologist): Indicates that the anesthesia service was personally performed by an anesthesiologist.
10. Modifier QK (Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures): Used when an anesthesiologist is directing multiple anesthesia procedures simultaneously.
11. Modifier QS (Monitored Anesthesia Care Service): Indicates that monitored anesthesia care was provided.
12. Modifier QX (CRNA Service with Medical Direction by a Physician): 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 CRNA by an Anesthesiologist): Indicates that an anesthesiologist is directing one CRNA in the provision of anesthesia services.
14. Modifier QZ (CRNA Service without Medical Direction by a Physician): Used when a CRNA provides anesthesia services without the medical direction of a physician.
These modifiers help provide additional context and specificity to the billing of anesthesia services, ensuring accurate reimbursement and compliance with payer requirements.
CPT code 01744 is reimbursed by Medicare, but its reimbursement is subject to specific conditions and guidelines outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of fees that Medicare uses to reimburse physicians and other healthcare providers for services rendered.
However, the reimbursement for CPT code 01744 can vary based on geographic location and other factors, as determined by the local Medicare Administrative Contractor (MAC). Each MAC is responsible for interpreting national policies and setting local coverage determinations, which can influence whether and how much Medicare reimburses for this specific code.
Therefore, it is crucial for healthcare providers to consult their respective MAC for precise reimbursement details and any additional requirements that may apply.
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