AAPC Chapter 16: Anesthesia Physical Status Modifiers Flashcards
Modifiers describing physical status of the patient and the potential anesthesia complexity as a result.
Physical status modifiers.
Are physical status modifiers recognized by Medicare for additional payment?
No.
Are base values listed in CPT® for physical status modifiers?
No.
Do non-Medicare payers typically pay additional base units for physical status modifiers?
Yes, when preoperative assessment documentation supports the modifier billed (the carrier usually does not require a specific diagnosis code to substantiate the physical status modifier).
Who must provide documentation regarding the physical status?
The anesthesia provider.
Physical status modifier for a normal healthy patient.
P1.
Is extra value added for physical status modifier P1?
No extra value added.
Physical status modifier for a patient with mild systemic disease.
P2.
Is extra value added for physical status modifier P2?
No extra value added.
Physical status modifier for a patient with severe systemic disease.
P3.
Is extra value added for physical status modifier P3?
1 extra unit added.
Physical status modifier for a patient with severe systemic disease that is a constant threat to life.
P4.
Is extra value added for physical status modifier P4?
2 extra units added.
Physical status modifier for a moribund patient who is not expected to survive without the operation.
P5.
Is extra value added for physical status modifier P5?
3 extra units added.
