Wiki question on MAC

[cherylbr]

I am very confused on when MAC (MODIFIER QS) is appropriately used and what documentation is required.

What types of anesthesia allows for billing the QS modifier (for MAC) with it? Does General anesthesia allow for MAC billing? How about Regional anesthesia?

Also, if the form of anesthesia is spinal is that considered Regional?

This is very confusing and any help would be most appreciated!

Thank you!

 

[jkyles]

I am very confused on when MAC (MODIFIER QS) is appropriately used and what documentation is required.

What types of anesthesia allows for billing the QS modifier (for MAC) with it? Does General anesthesia allow for MAC billing? How about Regional anesthesia?

Also, if the form of anesthesia is spinal is that considered Regional?

This is very confusing and any help would be most appreciated!

Thank you!

Hi there, the concept of monitored anesthesia care is confusing. Various types of anesthesia can be MAC. Please read the American Society of Anesthesiologists' policy on MAC: https://www.asahq.org/standards-and-guidelines/position-on-monitored-anesthesia-care first.

Another thing to keep in mind is Medicare and payers have a lot of restrictions on when they'll cover MAC. You'll need to check each plan's policy.