tci Part B Insider - 2003 Issue 23

Anesthesia: Know When to Use Modifiers -G8 and -G9 for MAC

As anesthetic and surgical techniques have improved, in many cases it's now no longer necessary to put a patient under general anesthetic. Instead, anesthesiologists use a mixture of local and regional anesthesia and certain mind-altering drugs. This monitored anesthesia care (MAC) service requires careful monitoring of vital physiologic functions, and the diagnosis and treatment of any deviations, warns Part B carrier Cigna Healthcare in its local medical review policies on MAC.   You report MAC by using modifier -QS, or in some cases modifiers -G8 or -G9. (Warning: Some carriers may not accept -G8 or -G9, so make sure...

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