tci ED Coding & Reimbursement Alert - 2002 Issue 10

Reader Question: Conscious Sedation by Residents

Question: Can a resident perform conscious sedation (99141)? Does the teaching physician need to be present for the whole procedure or can he just monitor the resident? New York SubscriberAnswer: For Medicare patients, the teaching physician rules state that the attending physician must be present during the entire procedure for a minor procedure (defined as less than five minutes) and during key elements of the procedure for a major procedure. Conscious sedation would likely take longer than five minutes and would be characterized as a major procedure. Suture removal, on the other hand, is an example of a minor...

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