As per Aetna March provider newsletter- Aetna is updating the treatment room policy that previously went into the affect on 4/1/21.

For any DOS 6/1/26- Aetna will no longer reimburse separately for treatment room services.

Applicable Rev codes:

• 760
• 761
• 769

Medical billing:

When the above review codes are billed with the following services:

• Inpatient stay
• Emergency Room visit
• Urgent Care Visit
• Outpatient Observational stay
• Labs and/or radiology services
• Outpatient minor surgical procedure or medical procedure.

In addition for any DOS on or after 6/1/26- Aetna will also no longer reimburse the E/M code when billed with above mentioned rev codes.

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