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Pre-Operative Anaesthetist Assessment
There have been a number of occasions where routine pre-operative anaesthetist assessment has been billed separately to the procedure fee. In accordance with the Association of Anaesthetists of Great Britain and Ireland and their Code of Practice for Billing Private patients we remind you of the following:
Routine pre-operative assessment of patients is included in the anaesthetic fee shown for ALL procedures regardless of whether the anaesthetist who carried out the operative ANAESTHESIA is different from the anaesthetist who carried out the pre-operative assessment.
Where extensive pre-operative consultation is required we may pay an additional fee but this will only be in exceptional circumstances. You must contact us in writing in all such instances and full detailed reasons for the additional consultation will need to be supplied by the anaesthetist for review by our consultant anaesthetic advisers, Chief Surgical Officer or Chief Medical Officer. Please contact the Specialist Relationship Team on 02380 354609 or HCFEE@aviva.com.
Inappropriate Code Combinations - Post Operative Pain Relief Injections
We do not reimburse additional charges for component parts of surgical procedures. As such we will not consider requests for payment for post-operative analgesia including nerve blocks. For these codes (including but not restricted to A5210, S5210, W9012, W9013, W9014, W9015, W9016, W9040 or A7350), the fee for pain relief is included in the main CCSD code. Should you have any queries please do not hesitate to contact the Specialist Relationship Team on 02380 354609 or HCFEE@aviva.com.
We have recently reviewed our stance regarding billing for multiple procedures carried out during the same theatre session.
From 1st July 2012 we will no longer be remunerating for more than three procedures in one theatre session as it is felt that any more than this would be a minor addition to, or part and parcel of the main procedure being carried out. This brings Aviva in line with the rest of the private medical insurance market. Should you have any queries regarding this change please contact HCFEE@aviva.com.
From 14th January 2013 we have made amendments to a number of codes as part of a full review of our fee schedule. These changes can be viewed under Recent Fee Changes section.