Provider Alerts -
Claims & Billing -
Policy, Billing, or Coverage Update -
2021
0077 21 Provider Alert Anesthesia Unit Policy v3 1 FINAL
Anesthesia services (00100–01999) are limited to a specific number of units per member, per provider group, per day. These limits are considered “typical” but may not reflect the actual services provided.
If units are billed beyond our established limits, the total units allowed will be adjusted to the assigned maximum allowed; all other units will be denied. However, additional units can be considered for payment with supporting documentation upon appeal.
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