Testimonials & Recommendations
Ms. Pinky is absolutely an expert in her field. She is a very passionate person with the work that she does.The help that she have been providing to any physician that crosses her blog or her LinkedIn Profile is a big help. ~ Dr. Jerry, Anesthesiologist, Connecticut
This is a personal recommendation to Ms. Pinky – she have been helping me and my practice since 2004. And until today, she is always there whenever I have a question on claims that are not properly paid and reimbursed. When she offered me to be take the seat as one of her Medical Advisory Boards for her website, I did not hesitate. The value that she provided me and with my practice is well appreciated. ~ Dr. Dolly, Anesthesiologist, Florida
Recommendations via LinkedIn
From All Others …
Your billing and coding website has always been a big help to me since 2006 when I was starting out and trying to become a biller. I am now working towards my goal of becoming RHIT! God Bless you, Ms. Pinky. Thank you for all that you do and for all that you share on your websites. – Jen P., Orthopedic Practice Billing Manager, Cali
So amazed how you write articles and share your knowledge to everyone who needs help in billing and coding. Thank you and please continue what you do. You are a blessing! – Charlotte, subsciber from Boston
Just a note to let you know that I began my carrer by visiting and utilizing the information on your website. Even today I gleaned some very helpful information regarding the usage of US/fluoscopy codes. Thank you! – Sue B., Washington State
Ms. Pinky is so kind enough to build this blog and her 10 years blog justmypassion.com helping coders and billers in medical offices. Thank you. – Salma, Biller in India
Always relied on Pinky’s blog and following – Brenda, Billing Student, TX
Credentialed with insurance companies especially if the market panel is closed. Ms Pinky even
walked me through how to obtain my NPI number for the first time and setting up CAQH for me.
She will continue to help you even if your contract is done and work is done. – Senna G., PT,
DPT, New Jersey
I am so happy when I found your blog on the internet. It has been teaching me become efficient
biller. Thank you for sharing and for all that you do, God Bless Ms. Pinky. – Terrence, Medical
Biller, New Haven, CT
If you are confused with Pain Management coding and billing Ms Pinky can help you! Her blog
has so many things that you can learn on Pain Management. – Celia – Medical Billing
Ms. Pinky is very experienced with Workers Compensation and Motor Vehicle Claims especially in
New York and New Jersey. I needed someone like her for my practice. She is a big help to my
practice. – Dr. Sam GT. – Pain Management Practice, Staten Island, New York
We have been using Ms. Pinky’s services in Medical Billing and Coding – she is a no joke biller!
She will not accept denials and rejection. She just know how to fight for the claims to get paid
based on (always) medical necessity, guidelines and the patient’s benefits, eligibility and
coverage. You can’t go wrong with Ms. Pinky when it comes to billing and reimbursement! The
good think about her, she has a clinical background and she is a very educated woman! So proud
of you Ms. Pinky! Thank you for all your help! – Ms.Lynda G. – Office Manager, Pain
Management Group, New Jersey
I have been using your blog as my reference at work. Thank you. – Blessie G. – Office
Manager, General Surgery Group, California
Your blog and website has been helping me learn more! – Rita V. – Office Manager, Pain
Management Group. Manhattan, NY
Thank you for getting back and answering my question MsPinky – Laurie D. Orthopedic Group,
Staten Island, NY
Thank you for everything that you do Miss Pinky! You are an angel! – Dr. Matt C. – Orlando,
Florida, Sports Medicine Specialist
Ms. Pinky did a good job with our insurance credentialing for 5 providers group. Appreciate her
great and efficient work on insurance contracting and fee analysis and negotiations and follow
ups. Thank you, Ms. Pinky. We’ll keep in touch! – Dr. Shah, Pain Physician Group, NYC, New
Your posts on Physical Therapy services on this website is a big help to us! Thank you so much
Ms Pinky and thank you for returning our phone call and answering our questions that fast!
Never expected a phone call from you in less than half an hour! Thank you! – Peter, PT, OCS,
Physical Therapy Group, IL
I am so glad I found your website! I don’t know how do you manage this great website but
THANK YOU SO MUCH for all your work. I will keep coming back here! – Phyllis, Anesthesia
Group, New Jersey
Ms. Pinky is highly professional and one of the best in the industry. Her client support is
unbelievably great. She is just a very unique professional. She knows everything that she is
doing and she has a lot of integrity. Thank you Ms. Pinky. – Dr. Bautista, General Surgery
Practice, New York, NY
I have been a client of Ms. Pinky since 2011. She kept her promise and she a professional with
integrity that she will always answer our questions whenever we need her. Thank you, Ms.
Pinky! More success to you – Dr. Joshi, Tampa, FL
I love your website! This is bookmarked on my computer! Thank you for all your help. I am sure
you are a big help to many of us. – Lena, Office Manager, AZ
Hello, Ms. Pinky-your hardwork building and updating this website is so much appreciated. Keep
up the good work. I will keep visiting this great site of yours! Thank you! – Teresa, Billing
Manager from California
Working with Pinky was a great experience. I have learned a lot from her. She is very
knowledgeable in the field of Medical Billing and Coding. From Sheryl, General Surgery Practice,
Pinky is an expert when it comes to Medical Billing and Coding for General Surgery! From Tanya,
Surgery Practice, New Jersey
Ms. Pinky helped me with my insurance credentialing and contract negotiations when I was
setting up my new practice. She did a good job. And I am pleased with her continued support
with any questions regarding medical billing, coding, and compliance for practice offices like mine.
Thank you. From Dr. T, Pain Specialist, New Jersey
Hi Ms. Pinky, I am so happy I found your site through Google Search. This is very informative.
Your Blog is also great. I just signed up for your mailing list. I look forward to receiving your
newsletters and free articles on medical billing and coding tips. God Bless you for sharing your
knowledge. From Esmeralda, Office Manager, Orthopedic Large Group in California
Thank you for the information for updates and changes that you sent through your newsletter
via email. It is very useful. Thank you. From Dr. L., Pain Physician, New York
The physical therapy billing on your website is very useful. I can imagine your hard work. Thank
you very much! From Barb, Physical Therapy Practice Manager, Florida
Thank you, Ms. Pinky for the free articles on medical billing and coding. I get excited when I get
an update from you via email. Keep up the good work. From Pat, Medical Billing Manager, Pain
Pinky will even call you and answer your question if she get has the time! I was surprised she
would call me after contacting her on her website. From Joanne, Office Manager, Orthopedic
Office in New York
I am a start up Pain Practice and Pinky helped me set up my billing staff as well as training me
and my staff. Her support is great! You can always rely on Ms. Pinky. From a Pain Doc in Indiana
You can always rely on Ms. Pinky. Any changes and updates, she will always inform us via her
email list. Thank you Pinky for all the useful information that you always update us on. Kelly,
Billing Manager, Michigan. From a Pain Doc in New York, NY
When it comes to credentialing, fee schedule analysis, negotiating your fees and setting up a
new practice, Pinky is an expert. She can guide you from credentialing until signing your first few
contracts! Thank you Pinky for your help. Mr. Scott, Physical Therapist, NJ
Pinky is always available whenever you need her by email, telephone or fax. Her response time
is so fast. She is very knowledgeable and an expert! Lynda, East Brunswick, NJ
We have relied on Pinky’s knowledge and experience on medical billing, coding and compliance.
Thank you Ms. Pinky for all your help. From a Pain Doc from Edison, New Jersey
Great Site!!! This is the absolute best, and has given me so much help when I needed it. Can’t
thank you enough for all your efforts and what you put into this to keep the rest of us
informed!! Thank you so much. Terri R., Office Manager, MA
This is extremely informative and useful site for new as well as old coders and billing
professionals. Madan S., Senior Coding Analyst, Radiology and E&M, India
i had a question about modifier 25 and your website answered it in the first paragraph! i will be
putting you on my favorites list! – Addie, Physician Coder
Hello. I found your site very helpful. I will definitely be using your site as a resource. Thanks do
much for sharing your passion. Kristal M, Alabama
I find you have a lot of information and you get right to the point. It doesn’t take 6 pages to find
the final answer. Great work. Debra S., Orthopedic
I came across your website while researching pain management reimbursement. It has been
and continues to be a great source of useful information and a potent tool in my arsenal. Many
thanks to you for providing it, keep up the great work…please! Craig A., Revenue Cycle
Management, New York
Ms. Pinky, I absolutely love your site. It is the best! I’ve read your modifier info and examples
but remain confused. Please tell me which modifier is appropriate to use for Occup Therapy when
using codes (same day) 97140 (manual therapy),97110(therapy exercise) and 97530
(therapeutic activities). Is it modifier 25 or 59? No one else has been able to provide clear –
Pinky, Thanks so much for your informative site. There is so much confusion and
misinformation out there about pain management billing and coding. Your site is very helpful.
Thanks for all your hard work. Frank S., Sales Rep, Michigan
Excellent website! Thank you for sharing all of your knowledge with the rest of us. This will be
very helpful to me and the rest of our team. You have made everything so convenient on one
site. Thanks again… – Mauren H. Account Specialist, California
hi dear, your blog is absolutely great it helped me a lot i must say. Joel B., Medical Biller, New
Hello! You have a great website full of very useful info. I do have a question about Therapy
coding. For secondary dx on a claim after the V57.XX code, can one use the
symptoms/diagnoses the therapist documents in the eval or does one have to stick with the
diagnosis code on the physician’s order? Belynn J., Medical Coder, San Diego
Please advise how you would code the following. I am having trouble since the NCCI went into
effect I would appreciate your expertise. These are charges to a PIP carrier Thank you. 1.
Transforminal L5-S1 epidural steroid injection left side and right side under fluorscopic guidance.
2. Epidurography performed with injection of Omnipaque using fluoroscopy. 3.. Interpretation of
Epigurogram. Mary N., Medical Biller, New Jersey
What is the correct way to bill 62311×2 77003 and 72275 for Medicare. I bill as follows but keep
getting denials for not medically necessary. 62311 72275 59/26 77003 59/26 62311 59 Thank
you for taking the time to answer my questions. Beki, Accounts Receivables, Florida
I just wanted to say THANK YOU… I just started working with a new doctor that does spinal
injections and I found that her last office manager/biller had no idea about the code changes for
the Facet Injections. I goggled a variety of things and finally found your Blog which stated in the
simplest of terms the changes and how to correct the codes. So thank you, thank you, thank
you.. Eleesa R., CMC, CMOM
I discovered Pinky’s website one day while looking on the internet for tips on billing for pain
management services. Pinky has helped me establish an Anesthesia & Pain Management
practice in rural Arizona town. If it wasn’t for Pinky I would be totally lost. She is truly committed
to providing quality service and is an extremely valuable asset to the my practice. If Pinky ever
quits this profession, I will just have to retire. She is an expert in her field and I can guarantee
she is the best in the business. John C.A., CRNA, MS, FAAPM, Arizona
Dear Ms. Pinky, Your website www.justmypassion.com is quite impressive, and shows very well
that you have a passion for billing and coding, among other things. I learned a lot, just browsing
the site. I am a physician with a question about “rendering provider” on the CMS 1500 form
when filing a Medicare claim… Chris D., M.D, Florida
Ms. Pinky is a very dedicated lady to her work. Very reliable (24/7!) and very professional. Her
knowledge in Pain Management medical billing and coding is excellent. Thank you Ms. P for all
your help. ~ Sharon, Pain Practice, NYC
I am an Office Manager in Central New Jersey. Our practice was merely 2 years old and was
handled by the most irresponsible biller at that time. Ms. Pinky came to our office and clean up
our billing department, turned it around at 360 degrees!. Money started coming in in less than
two weeks of her work! She is very good on appeals, insurance follow ups, reimbursement
analysis, contracting and fee schedule analysis. Highly knowledgeable with Interventional Pain
Management services and Physiatry. Strict and compliant! Thank you Ms. Pinky for your great
job! well done indeed! – Shelly, Central New Jersey
Thank you, Pinky for all your help! Educating us on properly coding pain management services is
a very big help to us! – Rhina, from Aurora, Illinois
Pinky’s ability to get work done has been outstanding. Her expertise on insurance participation
and contract negotiations has helped us a lot. She is efficient, reliable, and can be accessible
whenever we need her. Thanks for your help, Pinky! – Sleep Ease Lab (Sleep Disorder Diagnostic
Center) and Neurology Practice, New York, NY
Pinky’s knowledge for Pain Management medical billing and coding is excellent! Thank you Pinky,
for all your help! – Dawn (office manager), Anesthesia/Pain Practice in Oakhurst, NJ
Pinky is a very knowledgeable consultant for pain management billing and coding. She is very
professional in her area of expertise. She is very dependable and highly professional. I have
spoken with many people recently who “claim” to be knowledgeable in this field, only to have
been given the “run around” on numerous occasions. The field of Pain Management Billing is
relatively complicated for medical practice offices who specialize in Interventional Pain
Management. If anyone is in need of pain management medical practice billing and coding
consultant, I highly recommend Pinky for all your billing and coding questions. She is very
upfront when it comes to compliancy. She constantly recommends strict compliancy – Ms. Faye
C., Medical Practice Office and ASC Owner, Michigan
Pinky’s expert knowledge on medical billing and coding for Interventional Pain Management is
excellent!. She had helped me and guided me as a start up practice. Her coding, billing
assistance and her knowledge of the relevant and most recent guidelines in coding were
invaluable to my practice. I continue to rely on her whenever I need medical billing and coding
updates, policies and guidelines. My practice will be ready for ICD-10! – Uzma N., M.D.,
Anesthesia and Pain Management, Long Island, New York
Pinky is very experienced and knowledgeable for Pain Management’s medical billing, coding,
insurance payors’ policies and guidelines. Very professional and easily accessible. She is always
on her phone and email anytime you need her. A very nice lady. Thank you, Pinky for all your
help! – Dr. Caroline C. , San Francisco, CA
Pinky is very good when it comes to Medical Billing, Coding, Guidelines, Policies and Compliancy
for Interventional Pain Management and Anesthesia Services. She was a big help when I was
doing my insurance participation and credentialing and contract negotiations with many major
insurance companies. Her response time via email and telephone for any questions I have is so
fast. But most of the time, she always answers her phone! Highly dependable and very
professional. Thank you, Pinky, for all your help. – Dolores AY.L, M.D., Anesthesiologist, Lincroft,
Pinky is an expert when it comes to billing and coding for Physical Therapy Services including for
Workmans Comp and No-Fault. Great on appealing rejected and denied claims. Very
knowledgeable on Medicare. Very professional. – Roland, Physical Therapy Unlimited, Brooklyn, NY
Almost two years ago I found your site in my initial studies to determine if I wanted to go ahead
and pursue this “late” in life desire to to learn billing/coding. At that time, I did email you.
Today, I returned to your site once again and have been feasting on your articles. I stand in
awe of your experience and credentials. This business is not for the “faint-of-heart” to be sure!
I’m a senior oldster, who just received her CPC-A certification status in November and currently
working for my DIL who is a 17 year veteran in medical billing. I’m so fortunate to be starting
from the bottom.
However, at this stage in life, don’t have a whole lot of years left to compile years of experience,
and would like to know how to find a niche from which to excel! Right now we’re billing remotely
for a pain-management specialist, and feel it would be best to concentrate on learning to help
this doctor get the best revenue for his services rendered, especially in the areas of myo-blok
and botox injections for pain. Just trying to fine-tune my study and networking skills as there is
soooo much out there!
Your site has been so helpful, and I just wish I could shadow you for a day, or longer!
I love your passion for what you do!!! It’s contagious! – Sincerely, Sue, CPC-A Everett, WA
Just wanted to say a quick ‘thank you’ for your great resources online. You’re doing a fabulous
job, and I hope I remember to start my searches for information at your website! – Marcia B.,
President, Physicians Ally Consulting, Colorado
I am very impressed with your website. Awesome!!! Thank You!!!-Spine Orthopaedic Surgery,
I am enjoying your site it has been very helpful – Family Practice and Pain Management,
I discovered your website out of desperation to find out how to bill NJ Medicare for particular
Physical Therapy codes, and you have so much great information to share about our field and
thank you!- New Jersey
I found your site and while it is very informative I would really like to find the correct coding for
all of the codes we use and also a class or seminar would be of great help. If there is anything
you can share with me I would appreciate it.- Butler, PA
After browsing your website, I have come to appreciate all the work
you put in it. Billing is indeed your passion and you are very knowledgeable on this subject
matter. – CT
Specialty: Pain Management, Radiology
Please sign me up for Billing&CodingMade Easy
an online FREE articles and newsletter from www.justmypassion.com!
Thanks so much for all your great information. Yours is one of my favorite sites for answers to
Your site is really informative to me who is new in this field. Thank you so much.
Office front desk , biller postering
Specialty = Family Practice / Pain Management
I am enjoying your site it has been helpful.
i just wanted to say thank you for your site, it is very informative and helpful. I am actually
switching careers as I was an Administrative Assistant for 19 years and now changing at my
I am just completing a course in Medical Terminology and Understanding Health Insurance and
plan to take ICD-9 and CPT classes in the spring.
I plan on giving out your website to my classmates, i am on it alot and read all your articles and
try to understand everything, but its very confusing right now to me, however, a friend of mine
is a coder and she said that she cried everyday for six months and then suddenly it clicked, she
said, so i am hanging in there !!!!!!!
Again, thanks for your site, and keep up the good work, and i admire your intelligence. Thank
you! Mary (from Massachusetts)
I’m just returning to college after a 30 year hiatus and from a successfull music teaching career.
I’m at the age where I just wanted to do something different and do some life-changing events
have become very interested in the administrative medical community. The coding process has
fascinated me! IF I can take little black dots on a piece of paper and transfer them into
meaningful music, hopefully I can do the same thing with the coding language and facilitate
maximum payment for my (hopefully) future employer. Your credentials are impressive and the
fact that you want to be a blessing and help to others speaks for itself. Thank you for creating
such a site, and I’m pleased to avail myself to your wonderful abundant resources.- Sue,
hello ms.pinky…found u through internet search…its very expensive for this class already…i
need a mentor…want to take this class really bad…i know more money, extra money for daycare
because i have to drop the baby off early and extra days…can u just tell me your experience with
this field…how do i get a job when i’m done..most employer need few years of experience in this
field…but how will i find an employer will hire me fresh out of college…i don’t get it…please help…
hope to hear from you soon and thank you for your time….MICHELLE….Fresno, CA
First, thanks for your great website! What a wonderful gift you’ve given to the world. – Judi,
Medical Group Management Association
American College of Healthcare Executives
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CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!
Here are our Unlisted Service or Procedure Codes A service encounter or surgical procedure may be provided that is not listed in this edition of the CPT code book. When reporting such a encounter or service, the appropriate “Unlisted Procedure” code may be used to indicate the service, identifying it by “Special Report” as discussed in the section below. The “Unlisted Procedures” and accompanying codes for Surgery are as follows: 15999 Unlisted procedure, excision pressure ulcer 17999 Unlisted procedure, skin, mucous membrane and subcutaneous tissue...
Kyphoplasty CPT 2017 and Vertebroplasty – Billing for Moderate Sedation is Separate in 2017 Changes
Per the AMA CPT Changes: Kyphoplasty CPT 2017 and Vertebroplasty – Billing for Moderate Sedation is Separate in 2017 Changes The 2017 code set revises this code by removing moderate sedation, also called conscious sedation, from this procedure. Use of moderate (conscious) sedation is no longer considered an inherent part of this procedure and you can now report it separately. Prior to the 2017 change, reimbursement for moderate (conscious) sedation was built into the compensation for the procedure as the anesthesia was administered by the same physician or other qualified...
2017 Billing for Moderate Conscious Sedation with Surgery Procedure Huge Changes in 2017
Moderate Sedation Changes CPT® 2017 Moderate Sedation Change Codes List The 2017 code set revises this code by removing moderate sedation, also called conscious sedation, from this procedure. Use of moderate (conscious) sedation is no longer considered an inherent (bundled) / part of the procedure and can now be reported separately. Prior to the 2017 change, reimbursement for moderate (conscious) sedation was built into the compensation for the procedure as the anesthesia was administered by the same physician or other qualified health care professional who performed the procedure. This...
Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital
Inpatient Consult Codes – How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital Codes Your choice of code are based on the 3 Key Components of the Evaluation and Management E/M Services which are the: 1. History, 2. Examination, and 3. Medical decision-making. When billing initial hospital care, all three key… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!
I asked some of my readers about how they will feel if their claims has an allowed amount that is at 100% of the charged amount, wow! So, meaning, when you bill for $2000.00 and the insurance made their determination at 100% of your charges… you bill $2,000, they allowed $2,000 – would you be happy?… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M
Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M A question from one of my blog readers… By definition, Modifier 59 is used to identify procedures/services that are commonly bundled together but are appropriate to report separately under some circumstances. A health care provider may need to… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
How to Code Transforaminal Injection without Imaging Guidance
When the Pain Management physician does Transforaminal injection with imaging guidance, the following are our codes:: Inclusive with CPT 77003 – Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures. (Effective January 01, 2011). CPT Code 77012 – Computed tomography guidance for needle placement (eg, biopsy,… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME
DME Modifiers use for DME Durable Equipment Billing MODIFIER BP – The beneficiary has been informed of the purchase and rental options and has elected to purchase the item MODIFIER BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item, 2nd or 3rd month rental MODIFIER KX – Requirements specified in the medical policy have been met MODIFIER LL...
BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553
BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 20553 Injection(s); single or multiple trigger point(s), 3 or more muscles Many are still so confused on how to bill for Trigger Points. Here are my Coding and Billing Tips: 1. There is NO anatomical modifier; these 2 codes are is not unilateral 2. Choose based on number of muscles (not number of injections!) 3. You can append modifier 59 if it meets the guideline and necessity 4....
Anesthesia Cross codes for Interventional Pain Management Spinal Procedures
Anesthesia Cross codes for Interventional Pain Management Spinal Procedures Since most of the codes are image guided and are spinal procedures; the most appropriate Anesthesia codes will be: 01935 Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic (Base Unit 5) 01936 … therapeutic (Base Unit 5) Let’s look at… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
How to Bill for Anesthesia Services Personally Performed by Anesthesiologist
How to Bill for Anesthesia Services Personally Performed by thAnesthesiologist This post is very simple – assuming this is for Personally Performed Anesthesia by the Anesthesiologist. For Example for Pain Procedures: 64479 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, single level 64480 Injection(s), anesthetic agent and/or… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...
2017 New Moderate Conscious Sedation Codes | How to Bill for Moderate Conscious Sedation
Your old Moderate Conscious Sedation Codes were deleted and replaced in 2017 DELETED AND REPLACED: 99143 Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; younger than 5 years of age, first 30 minutes intra-service time 99144 Moderate sedation services (other than those services...