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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Billing of Moderate Sedation Alone?

Can you bill for Moderate Sedation in the ED when NO procedure is billed?

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?

Medical Billing and Coding Forum

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 […]

The post Moderate Sedation Coding appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

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.

Medical Billing and Coding Forum

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.

Medical Billing and Coding Forum

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!

Medical Billing and Coding Forum