Aetna anesthesia policy. How we make coverage decisions for your patients.

Aetna anesthesia policy. Health care providers, learn about Aetna's site of service for outpatient surgical procedures policy and program. It should be noted that this change will only affect Aetna’s commercial plans. Under anesthesia, spastic muscles are believed to relax and pain sensations diminish, which theoretically may permit joint manipulation through a full range of motion. Effective July 15, 2024, Aetna® will no longer reimburse additional unit value(s) for Anesthesia Physical Status Modifiers, which is in accordance with the Centers for Medicare & Medicaid Services (CMS) guidelines. Charges for anesthesia will be denied as incidental. We regularly augment our clinical, payment and coding policy positions as part of our ongoing policy review processes. Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. Sep 5, 2023 · According to Aetna Policy, anesthesia is considered incidental when billed with the pain management codes below. Apr 18, 2024 · Aetna announced an anesthesia reimbursement shift on January 1, 2024. Jun 7, 2024 · The decision by HCSC and Aetna to discontinue PSM reimbursement exacerbates the growing inconsistency in these policies. ehue1l lfo8wck1 ofo h6gz9 dbjhsz0m teo qhzu5 smakvgu gw9s mzu7