AAPC - credentialing the business side of medicine

Partha · #1 08-25-2009, 01:29 AM

Do we bill MAC the same way as general anesthesia:
(Base Units + Time Units + Mod Units) X Local Anesthesia CF

AYCPC · #2 08-25-2009, 06:35 PM

we bill our macs like our regular anes claims, be sure to add the MAC modifier and a supporting diagnosis code if applicable

Partha · #3 08-26-2009, 02:03 AM

so we need start time end time...for MAC too?

AYCPC · #4 08-26-2009, 06:52 AM

Yes, enter the charge as a 'regular' anesthesia charge but add the modifier QS and a diagnosis code to cover the MAC if applicable. Let me know if you need addl info and I will be glad to help.

Partha · #5 08-26-2009, 07:21 AM

Great - thanks for confirming!

AYCPC · #6 08-26-2009, 11:35 AM

You are most welcome!!

jdrueppel · #7 08-26-2009, 06:30 PM

The -G8 and -G9 modifiers are also pertinent to MAC. If using either of these modifiers you do not report the QS.

Julie, CPC