tci Part B Insider - 2006 Issue 8

EMERGENCY MEDICINE: Bill New Moderate Sedation Codes--Even If They Don't Pay

Medicare is watching your usage of these codesMedicare never paid for conscious sedation in the past, but some observers are hopeful things will be different for moderate sedation. CPT 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 you can do.Act now: Now's the time to encourage your local Part B carrier...

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