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Thread: Conscious sedation 99144-99145

  1. #1
    Join Date
    Apr 2007

    Default Conscious sedation 99144-99145

    AAPC: Back to School
    Is anyone billing out 99144 with their RF (s) 64622 ? Is anyone getting paid for these ?

    CMS Medicare Processing Manual Chapter 12 Section 50
    States: "The physician can bill the conscious sedation codes 99143-99145 as long as the procedure with it is billed not listed in Appendix G of CPT."
    According to the CPT guidelines, it's billable,
    NASS (North American Spine Society. "Common coding scenarios states if conscious sedation is administered it is reportable.Documentation must be met: .

    1. Indications for sedation (assessment of the patient)
    2. Informed consent obtained
    3. Prescence of Trained observer
    4. Extablishment of IV access and fluids
    5. Administration of agent(s)
    6. Maintenance of monitioring of sedation
    7. Recovery
    8. Status and instructions at discharge
    We have all the above when doing the RF procedure to begin with. Just making sure the documentation states the Trained Observer is present

    Last edited by Yoli; 04-14-2010 at 03:44 PM. Reason: To correct one of the Codes from 99143 to 99145 in title

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