ED Coding and Reimbursement Alert

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CCI Clampdown KOs These Sedation Codes

Bundles put wraps on secondary physician sedation services. If you have been coding for your ED physician's moderate sedation service while another provider performs a procedure, the Correct Coding Initiative (CCI) just put a stop to it. CCI 15.3, effective Oct. 1, bundles these sedation services into many ED-relevant procedure codes in the books. Check out this guidance on which moderate sedation codes are out, which ones are still in, and how to tell the difference. Choose E/M in Place of These Sedation Codes The following codes have been bundled into most procedure codes you'd see in the ED: • 99148 -- Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time • 99149 -- ... age 5 years or [...]
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