tci ED Coding & Reimbursement Alert - 2002 Issue 4

Reader Question: Reduction with Anesthesia

Question: An elderly man presented to our ED with a dislocation of the patella. He was in a lot of pain, and the physician was forced to administer intravenous Dilaudid and Valium to treat him. Should we assign a code that includes anesthesia (i.e., 27562) for this?Maryland Subscriber Answer: No, that would not be appropriate. Instead, you should code conscious sedation (99141, Sedation with or without analgesia [conscious sedation]; intravenous, intramuscular or inhalation). Typically, CPT indicates that codes including the language "with anesthesia" or "requiring anesthesia," such as 27562 (Closed treatment of patellar dislocation; requiring anesthesia)...

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