tci Part B Insider - 2006 Issue 11

EMERGENCY MEDICINE: You Thought Moderate Sedation Was Hard To Bill For, Wait Till April

You can't bill for E/M codes separately unless you can justify a modifierSo far, no Medicare carriers have decided to pay for new moderate sedation codes 99143-99149. (See PBI, Vol. 7, No. 8.) But just in case that changes, the Correct Coding Initiative Version 12.1 makes 107 codes into components of those codes starting April 1. Bundled: As of April 1, you'll need a modifier to bill for moderate sedation along with any of the evaluation & management codes. You'll also need a modifier if you want to bill for moderate sedation with: intracatheter introduction code 36000...

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