Wiki CT scan

[alk@APS]

Patient had a CT scan of head that required sedation, both anesthesiologist and CRNA were present, it was done under MAC and pt has MCR - how do I/can I bill for this service? Thanks

 

[Michele Hannon]

01922
MAC modifiers are necessary.....in this case QS or G9. You will need to prove medical necessity.......check your LCD.

 

[aaron.lucas]

I would also check to see if the radiologist/facility billed with modifier -23 (unusual anesthesia). If the payer doesn't see that modifier on associated billing that could another reason to deny the anesthesia.

 

[alk@APS]

Thanks