Karen Powell
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I work for an ER physician group and I have been billing the 99144 codes when documented properly. I was told recently by an Anesthesiologist that I can't code moderate sedation if our doctor is doing the procedure and the sedation. I checked on MCR website and I have found information that this code is up to insurance discretion on how much they will pay on this code. I couldn't find anything on my state law (Alabama) that states this. Am I right that we can charge for both? I checked the CCI edits and use the moderate sedation with procedures not on the Appendix that says the sedation is included. Shouldn't this be enough proof for my doctors because now everyone is questioning my answer? I still think I am right. PLEASE HELP THANK YOU