Posted in #reimbursement, Education, Training

Current facia plane block codes

Is your office compliant- uses the proper codes for facia plane blocks?

Back in 2025 CMS released new and updated facia plane block codes to better represent the work that the anesthesiologists perform to reduce the pain for the patients during procedures (thorasic/lower extremity).

Imaging is included in these codes.

Please note if the EP block is performed in the lumbar region, these codes are not appropriate and the code 64999 should be

used.


Coding:

Image via ASA website

Make sure your office is compliant and uses the proper codes to capture the procedures.


For more information please visit: ASA website


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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