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
KR2 Medical Billing 