The above LCD mentions some expections of the "trained observer" during the procedure
Below is from CPT Assistant. I was unable to find anything else. You could ask the head RN where you work if they feel the CMA would be qualify to be a "trained observer"?
Clinical Example: 99144
A patient 5 years of age or older presents with a complaint necessitating performance of some procedure or service (ie, the "supported procedure"), in support for which moderate sedation is deemed clinically appropriate. The treating physician will perform both the supported procedure and the moderate sedation service.
Description of Procedure: 99144
The physician supervises the administration and induction of the sedating agent, with or without an analgesic, initiated by the independent, trained observer. The patient is observed until a safe and effective level of moderate sedation is achieved. The physician, assisted by the independent, trained observer, continually assesses the patient's level of consciousness and physiological status throughout the performance of the supported procedure. Additional doses of sedating agent are ordered by the physician, as needed, to maintain the achieved level of sedation for the supported procedure
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