HCPCS 2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔Medical Decision-Making Complexity Levels - ✔✔Straightforward, Low, Moderate,
High
✔✔Straightforward - ✔✔Minimal diagnosis, Minimal Risk, Minimal complexity of data
✔✔Low - ✔✔Limited diagnosis, Limited/Low risk to patient, Limited data
✔✔Moderate - ✔✔Multiple diagnoses, Moderate risk to the patient, Moderate amount of
complexity of data
✔✔High - ✔✔Extensive diagnoses , High risk to patient, Extensive amount and
comp,lexity of data
✔✔Physical Status Modifiers - ✔✔P1 A normal healthy patient
✔✔P2 - ✔✔A patient with mild systemic disease
✔✔P3 - ✔✔A patient with severe systemic disease
✔✔P4 - ✔✔A patient with severe systemic disease that is a constant threat to life
✔✔P5 - ✔✔A moribund patient who is not expected to survive without the operation
✔✔P6 - ✔✔A declared brain-dead patient whose organs are being removed for donor
purposes-
✔✔HCPCS Anesthesia Modifiers - ✔✔AA Anesthesia services personally performed by
the anesthesiologist
✔✔AD - ✔✔Supervision, more than four procedures
✔✔QK - ✔✔Medical direction of two, three, or four concurrent anesthesia procedures
✔✔QS - ✔✔Monitored Anesthesia Care (MAC) services (can be billed by a qualified
nonphysician anesthetist or physician)
✔✔QX - ✔✔Qualified non-physician anesthetist with medical direction by a physician
✔✔QY - ✔✔Medical direction of one CRNA/AA by an anesthesiologist
✔✔QZ - ✔✔Certified Registered Nurse Anesthetist (CRNA) without medical direction by
a physician
✔✔Medical Decision-Making Complexity Levels - ✔✔Straightforward, Low, Moderate,
High
✔✔Straightforward - ✔✔Minimal diagnosis, Minimal Risk, Minimal complexity of data
✔✔Low - ✔✔Limited diagnosis, Limited/Low risk to patient, Limited data
✔✔Moderate - ✔✔Multiple diagnoses, Moderate risk to the patient, Moderate amount of
complexity of data
✔✔High - ✔✔Extensive diagnoses , High risk to patient, Extensive amount and
comp,lexity of data
✔✔Physical Status Modifiers - ✔✔P1 A normal healthy patient
✔✔P2 - ✔✔A patient with mild systemic disease
✔✔P3 - ✔✔A patient with severe systemic disease
✔✔P4 - ✔✔A patient with severe systemic disease that is a constant threat to life
✔✔P5 - ✔✔A moribund patient who is not expected to survive without the operation
✔✔P6 - ✔✔A declared brain-dead patient whose organs are being removed for donor
purposes-
✔✔HCPCS Anesthesia Modifiers - ✔✔AA Anesthesia services personally performed by
the anesthesiologist
✔✔AD - ✔✔Supervision, more than four procedures
✔✔QK - ✔✔Medical direction of two, three, or four concurrent anesthesia procedures
✔✔QS - ✔✔Monitored Anesthesia Care (MAC) services (can be billed by a qualified
nonphysician anesthetist or physician)
✔✔QX - ✔✔Qualified non-physician anesthetist with medical direction by a physician
✔✔QY - ✔✔Medical direction of one CRNA/AA by an anesthesiologist
✔✔QZ - ✔✔Certified Registered Nurse Anesthetist (CRNA) without medical direction by
a physician
