What documentation is necessary for billing Moderate Sedation in the Cath Lab?
In physician billing does the documentation (time) for the moderate sedation need to be in the body of the note or can you code from the procedure listed at the beginning of the note and the nurse notes?
Thanks in advance for your help
In physician billing does the documentation (time) for the moderate sedation need to be in the body of the note or can you code from the procedure listed at the beginning of the note and the nurse notes?
Thanks in advance for your help