tci General Surgery Coding Alert - 2008 Issue 4

CMS Paves the Way for Expanded Sedation Coverage

-Minimal- and -moderate- aren't the same, so check documentation carefully CMS has given the green light for Medicare carriers to pay for moderate sedation codes 99143-99145, according to a recent Medlearn Matters article (#MM5681, released Aug. 17). Codes 99143-99145 describe situations in which the same physician both administers the moderate sedation and performs the primary procedure. Until this time, many carriers have covered only moderate sedation codes 99148-99150, during which one physician performs the primary procedure and another, separate physician sedates the patient. As of Oct. 1, "If the physician performing the procedure also provides moderate sedation for the...

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