Posted in Insurance, Training, Updates

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

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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