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Medical Supervision

Nick Posted Thu 12th of February, 2015 09:39:56 AM

When an anesthesiologist is medically supervising less than 4 Crna's would you use modifiers Qy/QK for the MD

SuperCoder Answered Thu 12th of February, 2015 22:41:05 PM

Thanks for your question. Modifier QK is used when an anesthesiologist provides medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals. The QY modifier is used when an anesthesiologist provides medical direction for one certified registered nurse anesthetist (CRNA) by an anesthesiologist. In the case of four CRNAs, the appropriate modifier is QK. See the attached document from Noridian and SuperCoder regarding anesthesia modifiers for more information.

https://www.noridianmedicare.com/provider/updates/docs/Anesthesia_Modifiers.pdf

https://www.supercoder.com/coding-newsletters/my-anesthesia-coding-alert/medical-direction-101-does-stepping-outside-the-or-quality-for-modifiers-qy-or-qk-article

Nick Posted Fri 13th of February, 2015 12:46:01 PM

Would this hold true for supervision of one or two Crna's. The MD is supervising one or two Crna's at a time.

SuperCoder Answered Mon 16th of February, 2015 08:54:00 AM

Yes, medical direction or supervision would be the same. You would use the applicable modifier (QK or QY) depending on the number of CRNAs under the MDs supervision.

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