anesthesia with colonoscopies


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Currently we are having CRNAs come in to do MAC anesthesia for our colonoscopies. According to the CPT book, moderate sedation is included in this range of codes. So our hospital is essentially paying for the CRNAs to come in and not charging anything extra for the patients than if the surgeon did the sedation himself. I just wanted to throw a question out there to you guys to see if any of you are somehow able to charge and get paid for any anesthesia services during colonoscopies. Does comorbidities affect this, or a special modifier? Or maybe no one else is getting paid for this either. I am posting this question in a few different places. Let me know any thoughts, thanks in advance!!

Katie, RHIT