tci ED Coding & Reimbursement Alert - 2000 Issue 2

Avoid Denials by Not Using With Anesthesia Codes to Report Conscious Sedation

Correctly reporting the performance of conscious sedation in the emergency department (ED) has been a long-standing controversy in emergency medicine. ED physicians must make the distinction between a state of unconsciousness and without any sensation to the area when selecting the appropriate code. As defined by CPT 2000, conscious sedation is used in tandem with a medical procedure to achieve a medically controlled state of depressed consciousness while maintaining the patients airway, protective reflexes and ability to respond to verbal commands. Conscious sedation includes performance and documentation of pre- and post-sedation evaluations of the patient, administration of the sedation...

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