Anesthesia for Colonoscopies - MAC or General

THK

Contributor
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10
Location
Logan, UT
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0
Our group just recently started providing anesthesia services for colonoscopies (previously sedation was done by the RNs.) We are debating whether colonoscopies should be considered MAC or general anesthesia. Would love to hear how other groups are weighing in on this! Thank you!
 

csperoni

True Blue
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1,469
Location
Selden
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3
I don't bill anesthesia, but isn't the coding determined by the service being provided? Colonoscopies would typically be MAC, but you may have a patient who requires general anesthesia.
 

LisaAlonso23

Expert
Messages
419
Location
Sherman, TX
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0
I've been coding anesthesia for many years. The anesthesiologists determine the level of anesthesia based on the patient's needs and co-morbidities. I have seen MAC, General and TIVA used primary anesthesia methods for colonoscopies and EGDs.

If your providers choose to primarily use MAC, you need to become familiar with you state's MAC LCD list of co-morbidity diagnoses approved for MAC anesthesia.
 
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