Humana Anesthesia Modifiers for Anesthesia Services Code Edit

July 2017 ~

Humana has updated its policy concerning Anesthesia modifiers for anesthesia services to comply with the Illinois Medicaid Practitioner Handbook.

Per Humana Notification Number: 3052, the following update has been made to Anesthesia modifiers for anesthesia services:

• Anesthesia Modifiers for Anesthesia Services
  • UPDATE: Anesthesia services are not reimbursable when billed without an appropriate physical status modifier.
  • Reason behind Change:
    • According to the Illinois Medicaid Practitioner Handbook, each charge for anesthesia services must be submitted with the appropriate physical status modifier.
  • Providers affected:
    • Inpatient/Outpatient Facilities
    • Physician/Health Care Providers
  • Impacted products
    • Medicaid – Illinois
  • Effective date: July 6, 2017

Source(S): Humana;