Eileen Posted Wed 10th of August, 2011 10:50:48 AM
Patient is scheduled for flexible sigmoidoscopy in our endoscopy center. Patient requests sedation for the procedure. Flex sig (45330) shows as not including conscious sedation. Can we bill for sedation (99144) or is this included in the facility fee?
SuperCoder Answered Wed 10th of August, 2011 18:36:18 PM
The National Correct Coding Initiative has established edits that bundle CPT codes 99143 and 99144 into the procedures listed in Appendix G. So, CPT coding guidelines instruct practices not to report CPT codes 99143 to 99145 in conjunction with codes listed in Appendix G.
CPT 45330 is not listed in Appendix G, so can be coded and billed with 99144.