tci Part B Insider - 2013 Issue 5

Reader Question: Know Your Moderate Sedation Options

Question: Our provider administers epidural steroid injections and pain pump trials in his office procedure room. He’s asking about using PO anesthesia instead of IV sedation. I’m having trouble finding information and whether payers even reimburse for oral medications. What are our options?  Answer: If the same provider who performed the epidural steroid injection (ESI) and pain pump trials is administering sedation for the pain procedures, you’ll typically report the appropriate moderate sedation code(s). Your choices include:  99143 — Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician...

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