Neurosurgery Coding Alert

Exercise Caution on Sedation

The procedures for trigeminal neuralgia are performed under sedation, usually by an anesthesiologist. The following are the codes applicable for sedation:99149 (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; age 5 years or older, first 30 minutes intra-service time) +99150 (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; each additional 15 minutes intra-service time [List separately in addition to code for primary service]).Note that you cannot report these with 61790 and 61791. "If the surgeon is doing both the procedure and the sedation, then you will need to check the CCI edits. The sedation codes are bundled with 61790 and 61791," says Jennifer Schmutz, [...]
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