tci General Surgery Coding Alert - 2011 Issue 3

Reader Questions: Separate IV Charge Might Not Fly

Question: Our surgeon recently did an emergency room consult and administered intravenous sedation to perform an incision and drainage of a perirectal abscess. If I charge for the consult and the procedure, can I also code for the IV sedation? Answer: You can only report an intravenous (IV) sedation in addition to an E/M and procedure under certain circumstances. Only a conscious sedation is separately reportable, and even that's only in some cases. If your surgeon performed conscious sedation, you may be able to bill that with the proper documentation and depending on exactly which I&D code you're...

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