Medical Necessity for MAC
Hi,
I am going to reach out and just share a little information. I know I am not from Virginia but here in MN some of our endoscopic procedures have policies in place by BCBS. With that being said I need to provide documentation on why providing a MAC met medical necessity. I understand the V58.83 - medication monitoring/management. However I don't think that is the code they are looking for??? What type of medication is the patient taking that needs to be monitored? The one that meets medical necessity for me is V58.69which is for the patient taking narcotics for pain, or a different high risk medication (the list could be endless).
I am hoping this may offer some help.
Have a great evening,
Dana Chock, CPC, CCA, CANPC, CHONC, CPMA, CPB
Anesthesia, Pathology, and Laboratory coder