Question

1. A surgeon administered moderate sedation to perform CPT code 43235. The services were performed in a hospital setting. Can the surgeon report separately for providing moderate sedation? 2. A different physician, from the physician performing the procedure, administers moderate sedation for CPT code 31622. The procedure is performed in the physician's office. Can the different physician report separately for the moderate sedation? 3. A different physician, from the physician performing the procedure, administers moderate sedation for CPT code 36568. The procedure is performed in an ambulatory surgery center. Can the different physician report separately for the moderate sedation? 4. The same physician performs CPT code 33215 and also administers moderate sedation. The procedure is performed in an ambulatory surgery center. Can this physician also report separately for the moderate sedation? 5. A surgeon administers a digital block prior to a repair of a nail bed. How should the digital block be reported? 6. If an anesthesia service was provided to a patient who had mild systemic discase, what would the physical status modifier be likely to be? 7. If the same service was provided to a patient who had severe systemic disease, what would the physical status modifier be likely to be? 8. Anesthesia complicated by utilization of total body hypothermia 9. A surgeon performs an open excision of a bone cyst from the upper two-thirds of the femur of an otherwise healthy patient. An anesthesiologist administers general anesthesia. How should the anesthesia services be reported?

Answer 1

1, Moderate sedation should be coded seperately if it is performed by the same physician, surgeon or another physician for the billing use. 43235 code description for esophagogastroduodenoscopy
If moderate sedation administered by the same provider it should be coded separately under 99152.
2, 31622 is bronchoscopy with or without fluroscopic guidance.
Use 99156 for moderate sedation service provided by a physician or another qualified physician for performing diagnostic and therapeutic service for the first 15minutes, the patient maybe 5 years or older.
3, 36568 code description is for peripherally inserted central venous catheter (PICC) without imaging guidance younger than 5 years old
99151 is for moderate sedation service provided by the same physician or qualified another physician for the service, initial 15minutes patient younger than 5 years old.
4, 33215 code description for repositioning of previously implanted transvenous pacemaker
99157 code for moderate sedation provided by the same physician who performed the procedure with an additional 15 minutes.
5, Digital block is clearly bundled for the global surgical package, use CPT code 64450 for any injection, anesthetic agent and peripheral nerve block. it should be reported separately for the billing purpose.