Medicaid Anesthesia Reimbursement Guidelines
September 24, 2025
At Meridian, we are dedicated to empowering providers like yourself with essential information for success in the critical role of caring for families. As part of our ongoing commitment to integrity and transparency, we want to remind you of Medicaid billing requirements for anesthesia services.
Per MDHHS Manual Section 6.5 (Anesthesia Services) p21, July 1, 2025 Excerpt:
“Anesthesia HCPCS/CPT codes include all services integral to the anesthesia procedure such as preparation, monitoring, intra-operative care, and post-operative care until the beneficiary is released by the anesthesia practitioner to the care of another physician or other qualified health care professional.” This means the following are bundled into the anesthesia service and should not be billed separately:
- Pre-operative preparation
- Monitoring
- Intra-operative care
- Post-anesthesia care (until the patient is released to another qualified healthcare professional)
Submitting separate procedure codes for these services may be considered unbundling and could result in claim denials, recoupments, or further review.
Your dedication to delivering quality care is appreciated, and we are here to assist in any way possible. Should you have further questions, require additional guidance, or encounter any challenges in implementing these recommendations, please don’t hesitate to reach out.
Thank you for your ongoing commitment to excellence in healthcare.