tci ED Coding & Reimbursement Alert - 2012 Issue 9

Reader Question: Don't Get Hurt with A Pay Cut For Reductions Under Anesthesia

Question: An elderly man presented to our ED last week with a dislocation of the patella. He was in a great deal of pain and the physician was forced to administer intravenous Dilaudid and Valium in order to treat him. Would we assign a code that includes anesthesia (i.e., 27562) for this? Colorado Subscriber Answer: No, that would not be appropriate. Instead, if the documentation is in place and appropriate the practice could report moderate sedation 99144 (Moderate sedation services [other than those services described by codes 00100-01999] provided by the same physician performing the diagnostic or therapeutic...

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