Change to Anesthesia Claims Payment Methodology Calculation

Effective July 1, 2011, anesthesia time units reported in minutes will be divided by fifteen minutes and rounded to one decimal place (e.g., 16 minutes = 1.1 units), replacing the current process of rounding to the next whole number (e.g., 16 minutes = 2 units).

This change will be reflected in Claim Payment Policy #00.01.14i: Reporting and Documentation Requirements for Anesthesia Services. This policy has been available for review by providers and their office staff since it was posted on our website as a notification on April 1, 2011.

This version of the policy will become effective on July 1, 2011. Policy notifications are available on our medical policy website at www.ibx.com/medpolicy.