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z79.899 diagnosis usage for LCD L35049 Monitored Anesthesia Care

Hello,
I am getting mixed opinions of when to use z79.899. I did refer to the icd-10-cm book, appendix A, and found a long list of examples of medication for each long term diagnoses code, however not finding the answer I need. The only allowed long term med usage diagnoses listed on this MAC policy are z79.3, z79.891, z79.899. Where I am I getting stumped at is the diagnosis z79.899. For eg. I have a patient where they take omeprazole [since May 2017] and have had recent procedures of ASA 00740 was rendered with MAC anesthesia type, with the latest visit the doctor recommending increasing the dosage of the omeprazole. So, for this case, I believe I can use the diagnosis z79.899. Any Thoughts and comments? I really appreciate your help in advance.

Medical Billing and Coding Forum

Moderate (conscious) Sedation ADMINISTERED and monitored by hospital employed nurse

I am trying to obtain clarification of when moderate sedation can be reported by the same physician performing the diagnostic/therapeutic service when performed is a hospital setting. Is it appropriate to bill 99151-99152 if the moderate sedation if it is ordered by the physician, but is ADMINISTERED by the hospital employed nurse who also monitors the patient, or is it expected that the physician performing the diagnostic/therapeutic service order and personally administer the moderate sedation in order to bill for the physician’s work? I can not seem to find any solid publication that clarifies this scenario. Any guidance is much appreciated.

Medical Billing and Coding Forum