1.0 CPT CODES
00100 - 01999, 99100, 99116,
99135, 99140
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) code 64510) for
the treatment of Post-Traumatic Stress Disorder (PTSD) is unproven.