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36.4.3.8 Complicated Anesthesia
The following procedure codes are payable in addition to an anesthesia procedure or service: 1-99100, 1-99116, 1-99135, and 1-99140.
Procedure code 1-99140 is not reimbursed for diagnosis codes 650, Normal delivery, or 66970, cesarean delivery without mention of indication, when one of these diagnoses is documented as the referenced diagnosis on the claim. The referenced diagnosis must indicate the complicating condition. An emergency is defined as existing when delay in treatment of the client would lead to a significant increase in the threat to life or body part.
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