Medical Coding

Category - Anesthesia

Ms. McClinton was administered anesthesia by an anesthesiologist in her dentist’s office when she was seen for her dental procedure. The dentist usually performs the procedure with a local anesthetic, but anesthesia was administered in this circumstance due to the patient’s extreme anxiety. What would be the correct modifier for the procedure?
  1. -23
  2. -22
  3. -47
  4. -26
Explanation
Answer: A - Modifier-23 (Unusual Anesthesia) is the correct modifier. The dental procedure would have normally been performed under local anesthesia, but due to the unusual circumstances, an anesthesiologist was required to administer a heavier dose of anesthesia to the patient. Modifier -47 is incorrect because the anesthesia was administered by the anesthesiologist not a surgeon.
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