Wiki MAC Billing

[Partha]

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

 

[AYCPC]

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

 

[Partha]

MAC billing

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

 

[AYCPC]

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]

Great - thanks for confirming!

 

[AYCPC]

You are most welcome!!

 

[jdrueppel]

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

Julie, CPC