tci Part B Insider - 2007 Issue 28

REIMBURSEMENT: Think Medicare Won't Cover Moderate Sedation? Think Again!

Tip: Make sure your doctor documents the level of sedationGood news: More Medicare carriers may start paying for moderate sedation codes 99143-99145 soon. Right now, many carriers will only pay for 99148-99150, which cover a situation where one physician performs a procedure and another physician sedates the patient. (See The Insider, Vol. 8, No. 23.) They won't cover 99143-99145, which cover sedation which a single physician performs in addition to the procedure. But a new transmittal suggests that the Centers for Medicare & Medicaid Services may be encouraging carriers to pay for both types of sedation. -The new...

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