Hi Guest!

Here is some information you may find helpful regarding modifier 47, provided by WPS (a medicare contractor):

Modifier 47:
Definition: Anesthesia by surgeon: Regional or general anesthesia provided by the surgeon may be reported by adding modifier 47 to the basic service. (This does not include local anesthesia.) Modifier 47 would not be used as a modifier for the Anesthesia procedures.

Appropriate Usage

Modifier 47 is used to report anesthesia by the attending or assistant surgeon.

Inappropriate Usage

Use of this modifier by the anesthesiologist is not permitted.
Appending this modifier to CPT codes 00100 through 01999 Anesthesia Codes
Use of this modifier for local anesthesia
Do not use this modifier if the surgeon is monitoring general anesthesia performed by an anesthesiologist, Certified Registered Nurse Anesthetist (CRNA), resident, or intern.
Do not append modifier 47 to the CPT code when the surgeon administers the regional or general anesthesia. This service is not covered by Medicare.
Do not report modifier 47 with a surgical procedure code when the surgeon provides moderate sedation.

Procedure Codes

Surgery services/procedures

Additional Information

If the same physician performs anesthesia and surgery, the anesthesia is considered inclusive with the surgery. No separate or additional benefit is available for the anesthesia.
This is considered an informational only modifier.




Although i know you are billing to BCBS of IL, here is a link to BCBS of TX's Anesthesia Payment & Billing Information, it outlines modifiers to use in different situations and coding definitions:
https://www.bcbstx.com/provider/pdf/anesthesia_pay_and_bill.pdf


Hope this helps!