tci ED Coding & Reimbursement Alert - 2008 Issue 7

Reader Questions: Here's How to 'Target' Sedation Coding Chances

Question: After a level-five E/M service, the ED physician inserts a chest tube in a patient with traumatic hemothorax (there was no mention of open wound in the notes). Due to the patient's anxiety and pain, the physician and staff provide 26 minutes of moderate sedation during the procedure. Can we report the sedation separately? Massachusetts SubscriberAnswer: You cannot report the moderate sedation separately in this instance. Moderate sedation is bundled into the chest tube insertion code, so your claim cannot include 99144 (Moderate sedation services [other than those services described by codes 00100-01999] provided by the same physician...

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