AAPC - Back to school
Results 1 to 3 of 3

Thread: 99144 Anesthesia in ASC

  1. #1

    Default 99144 Anesthesia in ASC

    AAPC: Back to School
    Q: I was told that this is not legal for the physician to provide conscious sedation monitoring & perform the procedure on patients in certain states. Is this true for WA? Or I being misinformed by ARNP?

  2. #2


    I too am in Washington and work for an ASC and we do lots of conscious sedation. As the ASC is providing the medication and the nursing staff that the physician directs to do the CS; the physician legally should not bill 91444. By doing so you are double billing the patient for the anesthesia (CS). Physicians can legally peform CS in an ASC as long as the have as their ACLS is current and they are credentialed to do so.

  3. #3
    Join Date
    Apr 2007


    Wouldn't CPTs 99144-99145 be bundled into the surgical/injection procedure for the ASC for Medicare so is the carrier really being double billed in terms what they are going to pay separately. If the physician performing the procedure is also providing conscious sedation with a trainer observer, there is a service provided by the physician that seems like he is entitled to reimburse in a setting other than non-facility. When I looked at WPS Medicare's physician fee schedule they have a non-facility and facility separate fee for 99144 so wouldn't this account for his staff versus the facility's staff conducting as the trainer observer and who is taking on the cost of the meds?

Similar Threads

  1. Asc-99144
    By louettayg in forum Auditing General Discussion
    Replies: 0
    Last Post: 04-18-2014, 07:38 AM
  2. 99144 at an ASC
    By HBROCKMAN in forum Anesthesia
    Replies: 3
    Last Post: 04-21-2011, 01:22 PM
  3. 99144 at the asc
    By HBROCKMAN in forum Outpatient Facilities
    Replies: 2
    Last Post: 04-20-2011, 07:23 AM
  4. Anesthesia in an ASC
    By rmilly in forum Gastroenterology
    Replies: 0
    Last Post: 01-25-2011, 06:17 AM
  5. Anesthesia in ASC
    By dstruve in forum Outpatient Facilities
    Replies: 0
    Last Post: 12-14-2010, 10:34 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.