tci ED Coding & Reimbursement Alert - 2007 Issue 12

Medicare Approves Paying for More Moderate (Conscious) Sedation Scenarios

But sedation codes still have Medicare -C- status There is good news for ED coders: Medicare carriers may start paying for more moderate (conscious) sedation codes soon, according to a new transmittal from the Centers for Medicare & Medicaid Services. Right now, Medicare carriers will only pay for 99148-99150 (Moderate sedation services [other than those services described by codes 00100-01999] provided by a physician other than the healthcare professional performing the diagnostic or therapeutic service that the sedation supports ...), codes that cover a situation in which one physician performs a procedure and another physician sedates the patient. They...

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