If you or your family fall ill, our team coordinates between your local treating doctor and other specialists round the world, ensuring you get access to the right health care for you. Per our policy, ambulatory EEG procedures should be reported with a supporting diagnosis indicating seizures/convulsions. Links to various non-Aetna sites are provided for your convenience only. Aetna providers, we are here to support you during the coronavirus pandemic with timely answers to the most frequently asked questions about state testing information and other patient care needs. *In certain territories, Aetna Pioneer is known as Pioneer or Pioneer Dubai, while Aetna Summit is known as Summit or Summit Dubai. This policy will not apply to emergency room services that result in inpatient admissions. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members should discuss any matters related to their coverage or condition with their treating provider. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Program materials and login instructions will be e-mailed to registrants on September 29. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Evaluation and Management (E/M) Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans Author: Becky Reynolds Subject: This policy is intended to address Evaluation and Management (E/M) services reported using Current Procedural Terminology (CPT) codes 99201-99350. It contains informationfor our vendors. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Clinical guidelines and policy bulletins - Aetna Emergency CPT - 99283, 99284, 99285, 99281, 99282 Per our policy, office consultation services should not be reported more than once in a 6-month period by the same provider. Covered emergency room services from a non-participating provider or facility will be reimbursed at the in-network benefit plan level when the above criteria are met. Place of Service: Moderate Sedation Service in Non-Facility Setting by a Second Physician Policy (PDF). Links to various non-Aetna sites are provided for your convenience only. Per our policy, E&M services should not be billed when on the same date of service as venipuncture in a facility setting; use of a room to draw blood is not separately payable. PDF Emergency Room Services - Cigna
