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April 2021

Reminder about ClaimsXten edits for anesthesia services

In the May 2018 edition of The Record, we published an article about ClaimsXten edits that are in place in our systems. We wanted to remind you about those ClaimsXten edits, particularly the edits for anesthesia services.

Anesthesia services reported with non‑anesthesia codes that aren’t eligible to be reported for anesthesia providers will be denied and will need to be resubmitted with the correct anesthesia code.

The edits are designed to promote correct coding and simplify our claims payment systems.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.