tci General Surgery Coding Alert - 2009 Issue 4

Wake Up Your Reimbursement By Capturing Sedation Pay

Reporting CS with a -targeted- service puts a denial bull's eye on your claim. If you-re not coding for the moderate sedation (also known as conscious sedation or CS) your surgeon performs during a procedure, you-re potentially costing your practice money for every procedure he uses moderate sedation for. How much depends on your payer. "Coders shouldn't assume they cannot report the sedation," says Lisa Center, CPC, physician billing certified professional coder with Mt. Carmel Regional Medical Center in Pittsburg, Kan. "They need to check the codes to see if the code includes sedation and, depending on the...

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