tci ED Coding & Reimbursement Alert - 2000 Issue 11

Justify Use of Conscious Sedation Codes With Thorough Documentation to Get Payment

Limited acceptance and tough documentation standards make coding for conscious sedation difficult. But there are ethical ways to optimize reimbursement for this procedure. On the surface, conscious sedation sounds like a simple issue. The physician sedates a patient, often a child, using medications to alter behavior and mood. Under mild or moderate sedation, the patients respiratory drive and protective reflexes are still active, but presumably the doctor can perform a painful or stressful procedure with minimal discomfort to the patient.The procedure works especially well with children or anyone who requires a fracture reduction or treatment of a burn...

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