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Wiki coding moderate sedation
- Thread starter meggier
- Start date
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- anesthesia endoscop
btadlock1
Guest
Just because you don't remember it doesn't mean you weren't awake. When I had dental surgery a few years ago, they couldn't put me all the way under, because I had to be responsive to them telling me to open and close my mouth, but I don't remember any more about that procedure than when I had my gallbladder out. Either way, an anesthesiologist has to be present because you're sedated enough that someone needs to monitor your breathing and make sure that you're not having a bad reaction to the drugs. Hope that's helpful...
eadun2000
Expert
Actually you do not have to have an anesthesiologist present for moderate sedation... a physician and nurse are mostly all that is used in the ER setting or office setting.
LTibbetts
Guest
CPT Book, 2010 (& 2009)
Appendix G-Paragraph 2
"Since these services inlcude moderate sedation, it is not appropriate for the same physician to report both the service and the sedation codes 99143-99145. It is expected that if conscious sedation is provided to the patient as part of one of these services, it is provided by the same physician who is providing the service."
Also read the other paragraphs in this Appendix. It explains a lot about conscious sedation and anesthesia services. You can also read over the Anesthesia guidelines on page 40 of the CPT book. It may help to clear up the difference between the two.
Appendix G-Paragraph 2
"Since these services inlcude moderate sedation, it is not appropriate for the same physician to report both the service and the sedation codes 99143-99145. It is expected that if conscious sedation is provided to the patient as part of one of these services, it is provided by the same physician who is providing the service."
Also read the other paragraphs in this Appendix. It explains a lot about conscious sedation and anesthesia services. You can also read over the Anesthesia guidelines on page 40 of the CPT book. It may help to clear up the difference between the two.