Always Bundled Procedure Codes are not eligible for
separate reimbursement whether billed alone or in conjunction
with other services. Effective October 1, 2016, the following
anesthesia CPT® codes will be added to the list of
Always Bundled Procedure Codes: 99100, 99116, 99135, and 99140.
Updates to the following policies were posted as Notifications on
July 1, 2016:
- Commercial: #00.01.52d: Always Bundled Procedure Codes
- Medicare Advantage: #MA00.026b: Always Bundled Procedure
Codes
Note: These policies apply to professional providers billing on a
CMS-1500 claim form or the electronic equivalent,
837P, for all AmeriHealth members.
To view the Notifications for these policies, visit our Medical Policy Portal and
select Accept and Go to Medical Policy Online. Then select either
Commercial or Medicare Advantage under Active Notifications.
If you have any questions, please contact your Provider Partnership
Associate or Network Coordinator.
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Association.