tci ED Coding & Reimbursement Alert - 2005 Issue 9

Secure E/M Before Billing for Conscious Sedation

Make sure your doctor isn't doing someone else's dirty work--for free Because emergency physicians are credentialed to perform conscious sedation, they regularly receive requests for this service on behalf of other physicians, such as plastic surgeons and orthopedists. Here's how to decide whether to report conscious sedation, anesthesia, or an E/M service when your group chooses to accommodate these requests. Don't Report CS Alone You can't report conscious sedation codes (99141-99142) unless the emergency department (ED) physician is performing both the sedation and the associated procedure. But this won't be the case if a non-ED physician wants the sedation...

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