An otherwise-healthy five-year-old patient is identified in the pre-op area and brought back for surgical tonsillectomy. What physical-status modifier(s) and/or qualifying-circumstance modifier(s) would be used?

Question

Quizplus · Accepted Answer

The correct modifier is P1, which indicates a normal healthy patient. This is appropriate for an otherwise healthy five-year-old undergoing a tonsillectomy. P6 is for a declared brain-dead patient whose organs are being removed for donor purposes, which does not apply here. Modifier 99100 is for anesthesia procedures under extreme age conditions, which also does not apply in this scenario.

An Otherwise-Healthy Five-Year-Old Patient Is Identified in the Pre-Op Area