Aetna and payment for treatment room services (effective 04/01/2021)

For DOS 04/01/2021 and thereafter Aetna will NO LONGER separately reimburse for treatment room services: REVENUE CODES 760/761, when billed with:

• emergency room visit
• inpatient stay
• laboratory and/or radiology services
• outpatient minor surgical or medical procedure
• outpatient observation stay
• urgent care visit

“Treatment room services are not reimbursed when billed with a
service for room charges as part of an inpatient stay, emergency
or urgent care visit, outpatient observation, outpatient minor
medical/surgical procedure, or for the sole purpose of
performing laboratory or radiology testing.”

Source: Aetna February Provider Communications