Anesthesia Claims Processing

As noted in the May 2019 HealthCare News (issue #408), a related surgical procedure should be reported on all anesthesia claims. Effective October 1, 2019, you may receive a rejection for anesthesia claims submitted without a related surgical procedure code. To remedy this, a corrected claim with a frequency type 7 and the related surgical procedure code must be submitted. For claims that were rejected prior to October 1, 2019, a claims recovery will be done and providers will see claims being reprocessed.

HealthCare News Blast | October 7, 2019