tci General Surgery Coding Alert - 2006 Issue 6

New Sedation Bundles Could Limit Your Options

NCCI 12.1 takes aim at sedation with endoscopiesThe National Correct Coding Initiative version 12.1 (effective April 1-June 30, 2006), which newly classifies 107 codes as components of moderate sedation (99143-99150), might not affect your reimbursement for Medicare payers, but it could have important implications for  proper coding.Watch these bundles: As of April 1, you-ll need a modifier (such as modifier 59, Distinct procedural service) if you want to bill for moderate sedation with intracatheter introduction (36000), venipuncture (36400-36410, 36420-36425), hydration (90760) and many injection procedures, among others. This is Medicare's way of saying that it won't...

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