Posted in #aetna, Training, Updates

Aetna: Services included in the primary surgical procedures (facility)-06/01/21

As of 06/01/2021– Aetna will deny certain other procedures that are perfumed on the same day as a primary surgical procedure. This change will apply to facility claims with revenue codes: 360, 361, 369.

These services will be denied as experimental and investigational, cosmetic or not medically necessary.

Some of these services include, and not limited to:

  • Anesthesia
  • Labs
  • Medical supplies
  • Pharmacy
  • Radiology procedures

Source: Aetna March Provider Newsletter



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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