The definition of the QZ modifier by Medicare is for a CRNA service without medical direction by a physician. According to the report, for Medicare, medical direction is not achieved unless the ...

Aetna will no longer provide additional payment for physical status modifier 3-5 on anesthesia claims, according to an April 19 post by medical revenue cycle management group Coronis Health. Effective ...

You would need to append modifier 59 to tell the insurance “this is separate from the anesthesia”. Documentation from the surgeon stating he/she requested the lumbar epidural for post-op pain is ...