Example: PT comes in to the ED with a fracture, the fracture is reduced, but then the PT is taken to the OR by one of our facility’s Dr.’s to have surgery. We do not code our reduction in the ED because the surgery is the primary repair. So could we still code for the Moderate Sedation that was given for the reduction in the ED?
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Can you bill for Moderate Sedation in the ED when NO procedure is billed?
Moderate Sedation Coding
Moderate sedation, also sometimes referred to as conscious sedation, is a drug-induced depression of consciousness. A patient who has been sedated in this way is relaxed and generally insensitive to pain, but remains awake and able to respond to verbal instruction. If medically necessary and properly documented, moderate sedation is a separately reported service. Codes […]
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Moderate Sedation
If a provider starts a procedure using moderate sedation and it then progresses to deep sedation, is the moderate sedation still billable?
Sedation for Retrobulbar Block
If an anesthesia provider provides sedation while a surgeon is performing a retrobulbar block (pre-op to ocular surgery), but does not participate in the anesthesia once the ocular surgery starts(done by MD/RN monitoring) how do you appropriately code for the anesthesia providers services?
Emergency room reduction with moderate sedation
Both of the doctors are emergency room doctors with different NPI’s but the same Tax ID number.
Dr. Blue sees Oliver age 25 and decides a need for a reduction to his left arm, he does the moderate sedation of 25 minutes, while Dr. White does the reduction.
Which moderate sedation code would Dr. Blue bill?
99152-sedation provided by the physician performing the reduction
99156-sedation provided by a physician not performing the reduction.
Basically is this cpt code based off of the NPI or Tax ID.
Dr. Blue sees Oliver age 25 and decides a need for a reduction to his left arm, he does the moderate sedation of 25 minutes, while Dr. White does the reduction.
Which moderate sedation code would Dr. Blue bill?
99152-sedation provided by the physician performing the reduction
99156-sedation provided by a physician not performing the reduction.
Basically is this cpt code based off of the NPI or Tax ID.
Crna performed moderate sedation
Can the provider bill a 99152 if a CRNA employed by the facility performed the moderate sedation while the provider performed the procedure?
99152- Moderate sedation
We bill moderate sedation 99152 as per new changes in 2017 guidelines when performing cardiac cath.
It pays somewhere between $ 11-12.
It pays somewhere between $ 11-12.
However some insurances e.g. Humana denies it.
Are there some changes I’m not aware of?
Thanks!
Nitrous Oxide – Conscious Sedation
Could any one throw some information on Nitrous oxide used as sedation in Emergency Room. Do we have a separate CPT and HCPCS code to indicate this procedure. Experts opinion please.
Thanks in Advance!
moderate sedation & RT support
Hi all,
I am in need of assistance. I work for an Endoscopy lab (in a hospital) we use moderate sedation, some of our patient require respiratory therapy support during sedation. I would usually bill this with CPT 94660 (for the use of BI-PAP) and 99152 for the first 15 minutes of moderate sedation. I’m now being told, by compliance, these services are bundled and can’t be billed together. I checked the Medicare website and can’t find documentation to support this and there are no NCCI edits that I can find. Any information or suggestion on where I can look for an answer would be greatly appreciated. Thank you for your time.
I am in need of assistance. I work for an Endoscopy lab (in a hospital) we use moderate sedation, some of our patient require respiratory therapy support during sedation. I would usually bill this with CPT 94660 (for the use of BI-PAP) and 99152 for the first 15 minutes of moderate sedation. I’m now being told, by compliance, these services are bundled and can’t be billed together. I checked the Medicare website and can’t find documentation to support this and there are no NCCI edits that I can find. Any information or suggestion on where I can look for an answer would be greatly appreciated. Thank you for your time.
conscious sedation
my scenario: patient is given fentanyl, 50 mcg, IVP and versed, 1mg, IVP @ 0823. a second IVP of both meds (same dosage) @ 1036. I am billing for conscious sedation. Does this constitute 15 minutes plus an additional 8 units of intraservice time, do I need to bill each unit separately (8claim lines) or can I bill one line with 8units and if the meds are given by an RN but the patient is monitored by an MA(attending to the patient) and a physician(performing the procedure), do I bill with cpts 99152/99153, or 99156/99157? (patients are always older then 5yrs) Thanks for any help!