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CRNA does not stay for the entire case – can I still bill for them?

Good Morning, Everyone

Here is the scenario: MD1 and the CRNA began the case. CRNA left after 46 minutes. MD 2 appears to have given MD 1 a break midway through the case – my question is do I ONLY bill for MD1 with the AA modifier, or do I bill for MD1 (QY) AND the CRNA (QX) ?

Name: MD 1
Start Time: 02/26/18 14:10:00 Stop Time: 02/26/18 15:59:00 Total Time: 109
Name: MD 2 Activity: Supervisor Concurrency/Res: 1/0
Start Time: 02/26/18 16:00:00 Stop Time: 02/26/18 16:18:00 Total Time: 18
Name: CRNA
Start Time: 02/26/18 14:10:00 Stop Time: 02/26/18 14:56:00 Total Time: 46
Any and all help is greatly appreciated!!
M

Medical Billing and Coding Forum