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HCPCS Modifier QY

Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist

Short Descr	Medically directed crna
Medium Descr	Medically directed crna
Coverage	Special coverage instructions apply
MCM	3350.5
Added Date	1/1/1998

Modifiers

Q0-QZ Q Modifiers

Q0 Invest clinical research

Q1 Routine clinical research

Q2 Demo procedure, service

Q3 Live donor surgery/services

Q4 Svc exempt - ordrg/rfrng md

Q5 Recip bill arr subs md or pt

Q6 Fee/time comp subst md or pt

Q7 One class a finding

Q8 Two class b findings

Q9 1 class b & 2 class c fndngs

QA Avg sta day/night o2 < 1 lpm

QB Avg day/nite o2 > 4 lpm/port

QC Single channel monitoring

QD Rcrdg/strg in sld st memory

QE Stationary o2 @ rest <1 lpm

QF Station o2 @ rest >4lpm/port

QG Station o2 @ rest > 4 lpm

QH Oxygen cnsrvg dvc w del sys

QJ Patient in state/locl custod

QK Med dir 2-4 cncrnt anes proc

QL Patient died after amb call

QM Ambulance arr by provider

QN Ambulance furn by provider

QP Individually ordered lab tst

QR Avg sta day/night o2 > 4 lpm

QS Monitored anesthesia care

QT Rcrdg/strg tape analog recdr

QW Clia waived test

QX Crna svc w/ md med direction

QY Medically directed crna

QZ Crna svc w/o med dir by md

Date	Action	Notes
1998-01-01	Added	Code added 1/1/1998