Go Back   AAPC Forum > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 07-28-2008, 02:19 PM
junior88racing junior88racing is offline
Join Date: Apr 2007
Posts: 3
junior88racing is on a distinguished road
Default CPT codes with anesthesia

I have been told that example CPT code, 23655, Closed tx of shoulder dislocation with manipulation requiring anesthesia should not be billed unless the anesthesia states general. It this true? The coding question that was on my workbook stated with IV sedation. Therefore how would you code this example?
Reply With Quote
Old 07-28-2008, 02:26 PM
mbort's Avatar
mbort mbort is offline
True Blue
Join Date: Apr 2007
Posts: 2,339
mbort is on a distinguished road

The only codes that this is true with are those codes that specifically state (requiring GENERAL anesthesia).
Reply With Quote
Old 07-28-2008, 02:44 PM
Melanie Daugherty's Avatar
Melanie Daugherty Melanie Daugherty is offline
Join Date: Apr 2007
Location: Portsmouth Virginia
Posts: 31
Melanie Daugherty is on a distinguished road

Hi, from 3M Nosology: CPT code descriptors that include the phrases 'with anesthesia' or 'requiring anesthesia' indicate that the work involved in performing that procedure requires anesthesia, whether it is general anesthesia, regional anesthesia, or monitored anesthesia care.

Moderate (conscious) sedation is not an anesthesia service.

Hope this helps

Melanie R. Daugherty, CPC, CPC-H, CPC-P
Coder, Ambulatory Procedure Department
Naval Medical Center Portsmouth
Portsmouth, Virginia
Reply With Quote
Old 07-28-2008, 03:15 PM
dmaec's Avatar
dmaec dmaec is offline
True Blue
Join Date: Apr 2007
Location: Duluth, Minnesota
Posts: 1,135
dmaec is on a distinguished road

I really miss 3M and 3M Nosology
Donna, CPC, CPC-H
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:17 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC