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Billing requirement for anesthesia claims

July 2, 2015

Our new operating platform has requirements that differ from our previous claims processing system, including for anesthesia claims.

The new platform requires anesthesiologists to report the surgery or service performed that relates to the anesthesia service being provided. When submitting anesthesia claims electronically, there are three fields in which providers can report the related surgery/service performed:

  • Anesthesia Surg Proc CD
  • Claim Note Note
  • NOC Desc

Any claims that are submitted using ASA (American Society of Anesthesiologists) codes that do not indicate the related surgery or service performed in one of the aforementioned fields will deny with the following rejection code:

  • E5488: The description of the surgery or service reported that relates to the anesthesia service performed is not valid or is not reported.

If you have any questions about this billing requirement, please contact your Network Coordinator.


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