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tci General Surgery Coding Alert - 2004 Issue 10

Reader Questions: Skip Anesthesia Codes for Conscious Sedation

Question: Especially when dealing with young children, our surgeon will administer conscious sedation during difficult procedures such as endoscopic exams. How should we report this? May we use anesthesia codes such as 01922?Texas Subscriber Answer: No, you should not use 01922 (Anesthesia for non-invasive imaging or radiation therapy) or other general anesthesia codes to report conscious sedation. You should report 99141 (Sedation with or without analgesia [conscious sedation]; intravenous, intramuscular or inhalation) or 99142 (... oral, rectal and/or intranasal), as appropriate, to report conscious sedation when the surgeon also performs the primary procedure (such as colonoscopy or...

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