Production Alert Details

Anesthesia Services Are Being Denied When Billed with Radiofrequency Ablation Services

Date Reported:
11/01/2022
Status:
Open
Provider Types Impacted:

Part A and Part B providers in Jurisdiction K and Jurisdiction 6

Reason Code(s):
N/A
Claim Coding Impact:
Revenue Code: 0964 CPT and HCPCS codes: 00600, 00620, 00630, 99152, 99153, 99156 and 99157 when billed with 64633 64634, 64635 and 64636

Description of Issue

National Government Services is currently denying anesthesia when reported with radiofrequency ablation (RFA) services. Radiofrequency ablation, which requires the patient to remain motionless for prolonged periods of time or remain in a painful position, may require moderate sedation or an anesthesia care team. Based on this, NGS will be adjusting all anesthesia services that have been denied when billed with RFA services.

National Government Services Action

NGS will adjust the impacted claims

Provider Action

Please monitor Email Updates for additional information.

Proposed Resolution/Fix