Modifier '47' (January 2004)

January 2004 page 27d Coding Consultation:Questions and Answers Modifiers, 47 (Q&A) Question What is the correct way to report a regional or general anesthesia provided by the surgeon who is also performing the procedure? AMA Comment Regional or general anesthesia provided by the surgeon who is also performing the procedure is reported by appending modifier ‘47,’ Anesthesia by surgeon, to the surgical procedure code reported. Use of modifier ‘47’ alerts the third-party payer to the fact that the surgeon personally performed the anesthesia. Under no circumstance should modifier ‘47’ be appended to anesthesia procedures...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a January 2004 CPT Assistant coding question and AMA comment focused on anesthesia performed by the surgeon during a procedure. It is relevant to coders, billers, and compliance staff who work with surgical reporting and CPT modifiers. The piece is a brief guidance item rather than a long educational review, and it centers on a single modifier issue and a related CPT anesthesia code range.

Why This Topic Matters

It helps readers understand how the article frames a specific CPT modifier topic in surgical anesthesia reporting and why it is discussed in relation to billing and payer communication.

Article Sections

  1. Coding Consultation: Questions and Answers

    A short Q&A format presentation of the coding issue and the AMA response.

  2. Question

    The coding scenario presented for review.

  3. AMA Comment

    The explanatory response discussing the topic in the context of CPT reporting.

What You Will Learn

  • The general topic addressed in the coding question and answer format.
  • How the article situates the modifier discussion within CPT surgical/anesthesia reporting.
  • The type of guidance the AMA provides in a brief consultation-style article.
  • The role of payer communication in the article’s discussion.

Who Should Read This

  • Medical coders
  • Billing specialists
  • Compliance staff
  • Revenue cycle professionals
  • Healthcare providers involved in surgical reporting

Code Ranges Discussed

Modifiers Discussed


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