nurse anesthetists

the circumstance should be noted by adding the -47 or 09947 modifier to the surgery codes(s).  This modifier is often used by surgeons working in rural areas where the services of anesthesiologists or nurse anesthetists are not always available. To report the modifier, list the surgery code(s) a second time, and place the modifier on the second code. For example, suppose the surgeon removed a ruptured appendix from a patient and also provided a general anesthetic. The surgeon would code as follows: 44960  Appendectomy, ruptured appendix  44960-47 Anesthesia for appendectomy medical coding training india helps you to understand these in detail for coding.