Margaret Morgan
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Good morning,
I have a question regarding the new moderate (conscious) sedation codes; which has always been bundled with the catheterization and other procedure codes. I have been educating myself to be ready in January. I believe I understand the basics, however I have question about coding sedation when 2 procedures by two different physicians is performed during the same session.
an example is 65 year old patient has crushing chest pain and diagnostic catheterization is performed by doctor A. critical blockage is found but Doctor A is diagnostic cardiologist and doesn't have the training to perform the intervention to place a coronary stent to open up the blockage. Doctor B, an interventional cardiology is called in and takes over the case. Doctor A leaves and Doctor B places a stent to open blockage. Too make this easier for me to understand, let’s say each procedure took 15 minutes.
My question, how do I bill the sedation? Is it billed under Dr. A? Or is it split between the two providers? Do I bill 99152 and 99153 under Dr. A or do I bill 99152 twice? 99152 under Dr. A and again under Dr. B?
Thank you in advance for your help or suggestions on where to look for an answer.
Sincerely,
Margaret
I have a question regarding the new moderate (conscious) sedation codes; which has always been bundled with the catheterization and other procedure codes. I have been educating myself to be ready in January. I believe I understand the basics, however I have question about coding sedation when 2 procedures by two different physicians is performed during the same session.
an example is 65 year old patient has crushing chest pain and diagnostic catheterization is performed by doctor A. critical blockage is found but Doctor A is diagnostic cardiologist and doesn't have the training to perform the intervention to place a coronary stent to open up the blockage. Doctor B, an interventional cardiology is called in and takes over the case. Doctor A leaves and Doctor B places a stent to open blockage. Too make this easier for me to understand, let’s say each procedure took 15 minutes.
My question, how do I bill the sedation? Is it billed under Dr. A? Or is it split between the two providers? Do I bill 99152 and 99153 under Dr. A or do I bill 99152 twice? 99152 under Dr. A and again under Dr. B?
Thank you in advance for your help or suggestions on where to look for an answer.
Sincerely,
Margaret