We have a plastic surgery patient who is having 2 different surgical services during one anesthesia session. The first surgical portion is breast reduction; the 2nd is abdominoplasty with pubic reduction. The breast reduction is a covered service with her insurance; the abdominoplasty is not. If these were done at 2 separate visits, we would bill the breast reduction to insurance and the other service as self pay. When 2 different types of surgical services are performed during one anesthesia session, I understand that we are to code the higher valued ASA code with total anesthesia time, right? Is it appropriate to bill the breast reduction with total anesthesia time included for both the breast reduction and the abdominoplasty to the insurance? The patient was not extubated, etc. for the 2nd service. Thanks!