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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Anesthesia Services

DMA Clinical Policy and Programs
Phone Number 919-855-4320
Fax 919-733-2796

General and monitored anesthesia services are considered a global package of services that include the usual pre-operative and post-operative visits, the anesthesia services during the procedure, the administration of fluids and/or blood and the usual monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.  These services will not be reimbursed separately unless they are unrelated and billed with modifier 59. Certain medical/surgical procedures may be performed by the anesthesiologist (e.g., insertion of a Swan Ganz catheter or insertion of a central venous pressure line, etc.) and are allowed separate reimbursement without appending modifier 59.

Additional information on modifiers is available in the April 1999 Special Bulletin, Modifiers.

Clinical Coverage Policies

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

Anesthesia Services Fee Schedule

Physician Services (CPT/HCPCS) Fee Schedules