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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