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Good day,
I now have another physician at my office that does anesthesia on the patients and performs the service. My understanding is that I bill out the claim with the modifier 47 on the moderate sedation code, which our office is using the 99152 for the patient. I have tried to research about moderate sedation and have only found articles about gastroenterology coding and nothing about pain management/ neurology billing. Our office just received a denial for 99152 on our procedure code 64493 and 64494 from Medicare. I know certain procedures Medicare deems sedation unnecessary is this case with this procedure or is it the modifier?
I now have another physician at my office that does anesthesia on the patients and performs the service. My understanding is that I bill out the claim with the modifier 47 on the moderate sedation code, which our office is using the 99152 for the patient. I have tried to research about moderate sedation and have only found articles about gastroenterology coding and nothing about pain management/ neurology billing. Our office just received a denial for 99152 on our procedure code 64493 and 64494 from Medicare. I know certain procedures Medicare deems sedation unnecessary is this case with this procedure or is it the modifier?