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dislocation shoulder

  1. Default dislocation shoulder
    Exam Training Packages
    Patient comes in with anterior dislocation of shoulder and moderate sedation both done by the er physician do you bill 23650 or 23655 the one requiring anesthesia. i was told at one time that 23655 was the one when the patient was taken to the o.r ??? thanks Cathy

  2. #2
    Default re shoulder dislocation
    unless patient goes to er you would never code a procedure with anesthesia it would always be without

    P
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  3. #3
    Default correction
    i meant operating room sorry.
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  4. Default Dislocation
    Sorry, i need you to clarify...If the patient comes to the er seen by er doctor he does the dislocation with moderation sedation do you bill the 23650 without anesthesia or the 23655 with anesthesia.. I thought 23655 was only if the patient had the reduction under anesthesia in the OR??

  5. Default
    Quote Originally Posted by cathyflower View Post
    Sorry, i need you to clarify...If the patient comes to the er seen by er doctor he does the dislocation with moderation sedation do you bill the 23650 without anesthesia or the 23655 with anesthesia.. I thought 23655 was only if the patient had the reduction under anesthesia in the OR??
    it is 23650

  6. Default
    Is that because 23655 is only used for the OR.? I cannot find any documentation. Thanks

  7. #7
    Default
    Any orthopedic code that says "with anesthesia" means general anesthesia in the OR.

    Diana

  8. Default Moderate Sedation
    Look at code 99144 - but remember that the physician performing the manipulation is also the physician who administers the conscious sedation. There must be someone else present who just monitors the patient for level of consciousness and physiological status.

    Hope this helps...

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