Billing 99144 - bill for the sedation

HBROCKMAN

Networker
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My physician is performing moderate sedation when he does injections at an ASC. On the physician billing side can he bill for the sedation? Or since the person that is the "independent trained observer" as required by the CPT description, is employed by the ASC, do they bill it? Or do we both bill it like we do the injection and then we each get a portion? I posted a question about this yesterday, but I was not specific enough to get the answer I needed.....any help at all would be appreciated as my physician is questioning why we haven't been charging for this....and this is something we decided not to bill 5 years ago...I love revisiting things! :)

Thank you in advance
 

ChristieH

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59
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Marietta, GA
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We do bill for the 99144 in the ASC, but we do not bill a 99144 on the physician/professional side. As I recall, we do not get reimbursed for it in almost all cases.
 
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