Anesthesia
Chapter 3
Section 1.1
Anesthesia
Issue Date:
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision: C-1, March 10, 2017
1.0 CPT
PROCEDURE CODES
00100 - 01999, 99100, 99116,
99135, 99140
2.0 POLICY
2.1 Anesthesia
services and supplies are covered.
2.3 See the TRICARE Reimbursement
Manual (TRM),
Chapter 1, Section 9 for information on reimbursement
of anesthesia.
3.0 EXCLUSIONS
3.1 Hypnotherapy.
3.2 A separate
benefit is not payable for general anesthesia administered by the
attending physician (surgeon or obstetrician) or dentist, or by
the surgical, obstetrical or dental assistant. This exclusion does
not apply to cases involving administration of local or regional
anesthesia such as local anesthesia administered by a surgeon in
the surgeon’s office, by an obstetrician in a delivery room, or by
an orthopedic surgeon in an operating room.
3.3 Acupuncture.
3.4 The use of a Stellate Ganglion
Block (SGB) (Current Procedural Terminology (CPT) procedure code
64510) for the treatment of Post-Traumatic Stress Disorder (PTSD)
is unproven.
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