Answer:
**Modifier 47** is used when an obstetrician administers a regional anesthesia block prior to an emergency cesarean delivery.
Explanation:
According to anesthesia processing guidelines ,if the same physician performs anesthesia and surgery the anesthesia is considered inclusive in the surgery and thus no separate or additional benefit is available for the anesthesia.
Since the patient is not managed separately from an anesthesia standpoint , **Modifier 47** wouldbbe appended to the medical or surgical code and no codes from anesthesia section of the CPT code book would be used.
As in the above scenario ,obstetrician himself administered a regional anesthesia block prior to an emergency cesarean delivery , **modifier 47** would be appended.
