tci ED Coding & Reimbursement Alert - 2005 Issue 3

You Be the Coder: Anesthesia and Procedure in the ED - Who Bills?

Question: Recently, the attending physicians in our ED have been calling anesthesia residents in to administer "procedural sedation" with Midazolam and Propofol. Should we report this using anesthesia codes or conscious sedation codes? If we opt for anesthesia codes, should the attending ED doctors earn the professional fee for supervising the anesthesia residents?Alabama SubscriberAnswer: The answer to your question hinges on quite a few "ifs." But this much is certain: You can't report anesthesia codes if the same physician performs or supervises the procedure and the sedation. Instead, you should report conscious sedation codes. Depending on the...

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