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Updated policies for Always Bundled Procedure Codes

July 29, 2016

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 Independence 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 Network Coordinator.

CPT copyright 2015 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


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