Aetna Better Health of Ohio, with our partnership with CMS and Medicaid, continues to address medical cost savings initiatives where appropriate. To stay current with the national coding standards, we are updating our current modifier discount tables to align with those national guidelines. Listed below are the Medicare modifiers Aetna Better Health of Ohio is implementing on 1/1/18. This will allow our provider network time to adjust and make changes as needed.
If you have further questions about this modifier table please reach out to us by email at OH_ProviderServices@aetna.com or by phone at 1-855-364-0974 option 2, then option 5.
Surgical Care Only
Postoperative Management Only
Preoperative Management Only
Discontinued Outpatient Procedure Prior to the Administration of Anesthesia
Discontinued Outpatient Procedure After Administration of Anesthesia
Unplanned Return to Operating/Procedure Room by the Same Physician or other Qualified Health Care Professional Following Initial Procedure for Related Procedure During Postoperative Period
Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system
Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
Service Provided Via Interactive Audio and Video Telecommunications Systems