Anesthesia Coding Alert
Medicares MAC Policy
Gerry Malloy, Practice Administrator,
Lehigh Anesthesia Associates, Allentown, Pa.
Answer: The two codes you give as examples are not recognized by Medicare and are not on its fee schedule. If you send in a claim with either of these codes (or others that are not on the fee schedule), Medicare will deny it, according to its customer service department. Your best chance for being reimbursed in this situation is to call your local Medicare representative and ask for their most recent fee schedule so you can file the claim with the Medicare code that best matches the procedure.
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