tci Medicare Compliance & Reimbursement - 2006 Issue 11

EMERGENCY MEDICINE: Billing New Moderate Sedation Codes Now Could Pay Off Later

Medicare is keeping watch over providers' code usage.Medicare never paid for conscious sedation in the past, but some observers are hopeful things will be different for moderate sedation.Current Procedural Terminology 2006 introduced six new codes for "moderate sedation" (99143-99150) and deleted two old "conscious sedation" codes (99141-99142). For now, the new codes have a status of "C," meaning "carrier-priced.""Unfortunately, carrier-priced often means zero" for reimbursement, says David McKenzie, director of reimbursement with the American College of Emergency Physicians. But there is something providers can do.Now's the time for providers to encourage their local Part...

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