Medica policy
Anesthesia
Anesthesia is a public Medica policy (policy RP-P-115X, effective Oct 1, 1998). It lists 24 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Policy number
- RP-P-115X
- Effective
- Oct 1, 1998
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| 00100 | Policies naming 00100 |
| 01967 | Policies naming 01967 |
| 01968 | Policies naming 01968 |
| 01969 | Policies naming 01969 |
| 01991 | Policies naming 01991 |
| 01996 | Policies naming 01996 |
| 01999 | Policies naming 01999 |
| 10021 | Policies naming 10021 |
| 62320 | Policies naming 62320 |
| 62321 | Policies naming 62321 |
| 62322 | Policies naming 62322 |
| 62323 | Policies naming 62323 |
| 62324 | Policies naming 62324 |
| 62325 | Policies naming 62325 |
| 62326 | Policies naming 62326 |
| 62327 | Policies naming 62327 |
| 99100 | Policies naming 99100 |
| 99116 | Policies naming 99116 |
| 99135 | Policies naming 99135 |
| 99140 | Policies naming 99140 |
| 99201 | Policies naming 99201 |
| 99255 | Policies naming 99255 |
| 99304 | Policies naming 99304 |
| 99499 | Policies naming 99499 |