ALERT!!
NEW FEATURE AVAILABLE – CHECK IT OUT: There is a new SHOW MARKUP button that allows you to view the manuals in a whole new way. Show or hide revisions in a section; the choice is yours. Go to any page within the manuals and use the new button now!
The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each T-17 manuals' web page.
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.
- END -