How should anesthesia claims with procedure code 01996 be submitted?


An edit is triggered if an anesthesia modifier (AA, AD, QK, QS, QX, QY or QZ) is submitted with Procedure Code 01996. If 01996 is submitted with one of these modifiers, the edit states the units or basis of measurement code must be ‘MJ’. In order to avoid this edit, MAOs and other entities should not submit anesthesia modifiers with procedure code 01996.

Source: User Group Webinar on June 20, 2019

Last Updated: 06/20/2019