Aetna – Effective-Date Change for Technical Component-Only Codes
October 4, 2021Aetna will no longer reimburse for professional services performed in a hospital setting for technical-only procedure codes. The Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule lists these codes as diagnostic only, and they do not have a related professional code. In June, we told you these edits would be effective in September. These updates have been delayed and will now become effective November 1, 2021.
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Original source URL:
https://www.aetna.com/content/dam/aetna/pdfs/olu/october-2021-olu-monthly-notice.pdf