If you posting a Colon/EGD for MAC anesthesia service do you still have to get a medical necessity code for a 00813 for Medicare and commercial medicare. It’s not stating on the LCD35049. And if so where would i go to find out you do or link. TIA
I believe MAC lcd is article# A57361. Check the medical records if patient has history or review of systems: hypertension, renal disease, CAD, hypothyrodism or other comorbidities-check the lcd list and add any of those dx to your claim.