Wiki Reduction of Dislocation Requiring Sedation

[elizabeth24]

ED physician performed a closed reduction of a shoulder dislocation. Patient was sedated. Is 23655 the appropriate CPT code for this scenario? "With anesthesia" is confusing me, and I can't find any information that states whether this includes sedation or if it's just general anesthesia

 

[lexvcarter]

In the chart or op note does it state general anesthesia or local/twilight?

 

[C Clark CPC CEDC]

Hello:
Usually when there is a Shoulder dislocation w/ reduction performed in the E/R with Sedation.. Does the Sedation note have meds listed {IV }and start & stop time documented?

 

[lsolway]

Hi-
I currently have a similar scenario. Shoulder reduction in the ED. CRNA present. MAC /TIVA (Total Intravenous Anesthesia) performed, 10 minutes. It is confusing. I had read (probably here) that 23655 could only be used in the OR.
Thanks

 

[fwnewbie]

What you describe is known as Conscious Sedation, Moderate Sedation, or Monitored Anesthesia Care. Look in CPT under Sedation - there's a whole section and a chart with codes.
There is a sentence in the Anesthesia section of CPT that says "Inductions of anesthesia in the operating room (or equivalent area)" and they might be talking about endoscopy rooms or ER. I don't know what is meant by "equivalent area", but I don't think the 20000 series is what you're looking for.

 

[elizabeth24]

In the chart or op note does it state general anesthesia or local/twilight?

It was just conscious sedation. They used versed

 

[elizabeth24]

Hello:
Usually when there is a Shoulder dislocation w/ reduction performed in the E/R with Sedation.. Does the Sedation note have meds listed {IV }and start & stop time documented?

It was Iv sedation, so they documented, but it was not general anesthesia

 

[elizabeth24]

What you describe is known as Conscious Sedation, Moderate Sedation, or Monitored Anesthesia Care. Look in CPT under Sedation - there's a whole section and a chart with codes.
There is a sentence in the Anesthesia section of CPT that says "Inductions of anesthesia in the operating room (or equivalent area)" and they might be talking about endoscopy rooms or ER. I don't know what is meant by "equivalent area", but I don't think the 20000 series is what you're looking for.

Thanks for the information