When should modifier 23 be used?

Modifier 23 is specifically used to indicate that a procedure typically performed with a local anesthetic was performed under general anesthesia due to special circumstances. This modifier is crucial for accurately reflecting the complexity and resource requirements of the procedure. It alerts payers that the usual anesthetic approach was altered, requiring closer examination and potential additional compensation.

This modifier serves as a clear communication tool to convey that the usual expectations regarding anesthesia usage in a procedure were significantly changed. It ensures that procedures requiring increased resources, such as those needing general anesthesia under special circumstances, are adequately recognized and reimbursed appropriately.

Utilizing modifier 23 helps maintain transparency in the surgical documentation process and allows for accurate billing for the increased complexity of care provided.