tci ED Coding & Reimbursement Alert - 2001 Issue 2

Reader Question: Followup Conscious Sedation

Question: How should our ED pediatrician code and bill for administering conscious sedation if another physician performs a procedure, such as a fracture repair?Laurie Larsen, Office SupervisorED Primary Childrens Medical Center, Salt Lake CityAnswer: This problem arises from CPT because the instructions for conscious sedation state, If the sedation with or without analgesia (conscious sedation) is administered in support of a procedure provided by another physician, see anesthesia section. But that section of the book refers to general anesthesia only. Conscious sedation does not appear in the anesthesia section and thus is not considered an anesthesia code. This...

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