Invasive Lines / CRNAs Can Get Paid for Invasive Lines, but Usually Not While Medically Directed

Article Overview

This article addresses Medicare reimbursement questions involving CRNAs, anesthesiologists, and specialized procedures such as invasive line placement. It discusses how CMS has framed payment policy, how state law and carrier policy affect whether payment is available, and why billing responsibility can differ depending on whether the CRNA is medically directed or not. The piece is intended for anesthesia billing staff, CRNAs, anesthesiologists, compliance teams, and coders who need a general understanding of when these services may be separately reportable under Medicare.