Anesthesia Services Sample Clauses

Anesthesia Services. This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.
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Anesthesia Services. We cover medically necessary anesthesia services received from an anesthesiologist when the services are for a covered procedure. Our allowance for the anesthesia service includes the following:  anesthesia care during the procedure;  time an anesthesiologist routinely spends with a patient in the recovery room;  time spent preparing the patient for surgery; and  pre-operative consultations. Our allowance for the surgical procedure includes local anesthesia. Other than the pre-operative office visit, this agreement covers office visits or office consultations to anesthesiologists as an office visit. See Section 3.24 - Office Visits.
Anesthesia Services. Shall be defined as the administration of anesthetics to achieve general or regional anesthesia and related resuscitative procedures.
Anesthesia Services coverage is provided for the administration of anesthesia ordered by the attending professional provider and rendered by a professional provider other than the surgeon or assistant at surgery. Benefits are provided for the administration of anesthesia for oral surgical procedures in an outpatient setting when ordered and administered by the attending preferred professional provider.
Anesthesia Services. The Plan provides Benefits for anesthesia only if administered while a Covered Service is being provided. An exception is provided under section 4.B.
Anesthesia Services. The administra- tion of an anesthetic agent by injection or inhalation, the purpose and effect of which is to produce surgical anesthesia characterized by muscular relaxation, loss of sensation, or loss of conscious- ness when administered by or under the direction of a physician or dentist in connection with otherwise covered surgery or obstetrical care, or shock therapy. Anesthesia services do not in- clude hypnosis or acupuncture. Appealable issue. Disputed questions of fact which, if resolved in favor of the appealing party, would result in the authorization of CHAMPUS benefits, or approval as an authorized provider in accordance with this part. An appeal- able issue does not exist if no facts are in dispute, if no CHAMPUS benefits would be payable, or if there is no au- thorized provider, regardless of the res- olution of any disputed facts. See § 199.10 for additional information con- cerning the determination of ‘‘appeal- able issue’’ under this part.
Anesthesia Services. The Plan provides Benefits for anesthesia only if administered while a Covered Service is being provided. An exception is provided under section 4.B.17. No Benefits are available for local or topical anesthesia unless it is part of a regional nerve block.
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Anesthesia Services. The benefit package includes anesthesia and monitoring services necessary for performance of surgical or diagnostic procedures as set forth in MAD Program Manual Section MAD-714, ANESTHESIA SERVICES.
Anesthesia Services. We cover medically necessary anesthesia services received from an anesthesiologist when the services are for a covered procedure. Our allowance for the anesthesia service includes the following: • anesthesia care during the procedure; • time an anesthesiologist routinely spends with a patient in the recovery room; • time spent preparing the patient for surgery; and • pre-operative consultations. Our allowance for the surgical procedure includes local anesthesia. Other than the pre-operative office visit, this agreement covers office visits or office consultations to anesthesiologists as an office visit. See Section 3.23 - Office Visits. Anesthesia services when rendered at a hospital or free-standing ambulatory surgi-center in connection with a dental service are covered when the use of the hospital or free-standing ambulatory surgi-center is medically necessary and the setting in which the service received is determined to be appropriate. Preauthorization is recommended for this service. The dental services will remain non-covered. See Section 4.17.
Anesthesia Services. We cover medically necessary anesthesia services received from an anesthesiologist when the services are related to a covered procedure. Our allowance for the anesthesia service includes the anesthesia care during the procedure, time an anesthesiologist routinely spends with a patient in the recovery room, time spent preparing the patient for surgery, and for pre- operative consultations. Our allowance for the surgical procedure includes local anesthesia. Epidural anesthesia services administered at the base of the spine is covered only when administered during a covered obstetrical procedure. Anesthesia administered by an anesthesiologist for electroconvulsive therapy is covered. See Section 3.2 - Behavioral Health Services - Mental Health Services. Other than the pre-operative office visit, this agreement covers office visits and/or office consultations to anesthesiologists as an office visit. See Section 3.24 - Office Visits. Anesthesia services when rendered at a hospital or free-standing ambulatory surgi-center in connection with a dental service are covered when the use of the hospital or free-standing ambulatory surgi-center is medically necessary and the setting in which the service received is determined to be appropriate. Preauthorization is recommended for this service. The dental services will remain non-covered. See Section 5.17.
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