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Trish Posted Wed 23rd of January, 2013 23:35:12 PM

When a pain management physician is going to give a pt a lumbar epidural steroid injection and the pt is very anxious and upset and the physician wants to give the patient some Versed, is that considered concious sedation? Can that be billed 99144? If not can you please tell me what can/should be billed for the Versed? Thank you

SuperCoder Answered Thu 24th of January, 2013 20:15:19 PM

The answer is yes. Conscious sedation (99144) is used to achieve a medically controlled state of depressed consciousness while maintaining the patients airway, protective reflexes and ability to respond to stimulation or verbal command, according to the CPT.It is administered through an intravenous injection of a sedative such as Demerol or Versed.

Although Medicare doesnt reimburse for the administration of conscious sedation, it will pay for drugs such as Demerol (HCPCS code J2175) or Versed (HCPCS code J2250) that are used to sedate the patient.

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