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Updated policy for anesthesia services

October 3, 2016

Effective December 1, 2016, in order to stay consistent with Medicare, Independence will deem physical status modifiers (P3 ? P5) as informational only. These modifiers will not be eligible for any additional reimbursement for Medicare Advantage members.

An update to Policy #MA00.009d: Reporting and Documentation Requirements for Anesthesia Services was posted as a Notification on September 1, 2016.

Note: This policy applies to professional providers who bill on a CMS-1500 claim form or via the electronic equivalent, 837P, for all Independence Medicare Advantage members.

To view the Notification for this policy, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select Medicare Advantage under Active Notifications.

If you have any questions, please contact your Network Coordinator.


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