AMA CPT® Assistant - 2006 Issue 11 (November)

Modifiers: Modifier 47, Anesthesia by Surgeon (November 2006)

November 2006 page 23a Modifiers: Modifier 47, Anesthesia by Surgeon, 64415, 64721, 47 (Q&A) Question If a surgeon performs a regional nerve block (reported with code 64415) prior to performing surgery to decompress the nerve at the carpal tunnel (reported with code 64721), is it appropriate to append modifier 47, Anesthesia by surgeon, to indicate that the surgeon personally performed the regional anesthesia? AMA Comment If a physician personally performs the regional or general anesthesia for a surgical procedure he or she also performs, then modifier 47 would be appended to the surgical code. No codes from the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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