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GYN physician billing for Monitored Anesthesia Care (MAC)

Cathy Posted Thu 05th of September, 2019 14:18:05 PM
We are a gynecology provider performing office based gynecologic surgery. We are utilizing the services of a CRNA who is not under the supervision of an anesthesiologist. The CRNA is under the medical direction of the rendering physician. How would we go about billing for monitored anesthesia care (MAC) (example: CPT 00952 during a hysteroscopy (CPT 58558) if the CRNA is not a participating provider under our accepted insurance groups?
SuperCoder Answered Fri 06th of September, 2019 07:22:19 AM
Hi nbsp Thanks for your question nbsp nbsp If the CRNA has NPI number and is contracted by insurance companies you can bill under their own NPI You will need to apply the appropriate modifier to the claim Examples of those modifiers are nbsp -QZ CRNA service without medical direction...

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