You Be the Coder:
Check Sedation Level Achieved Before Assigning A Fecal Disimpaction Code
Published on Fri Jun 19, 2015
Question: We are wondering how to code for this fecal disimpaction encounter. The doctor performed the disimpaction on an elderly patient after administering a moderate sedative. ED notes suggest a level 4 E/M service. How should we report the encounter, and is there a way to report the sedation separately from the evaluation and management (E/M) service? Minnesota Subscriber Answer: While [...]