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- Michael E Nelson.
- Shawnee Mission Medical Center, Shawnee Mission, KS. Electronic address: mikenelson@att.net.
- Chest. 2017 Oct 1; 152 (4): 893-897.
AbstractThe reimbursement for procedures using moderate (conscious) sedation has changed significantly as of January 1, 2017. Due to the increasing use of anesthesia services to provide moderate sedation during endoscopy, the Centers for Medicare & Medicaid Services made the decision to remove work relative value units from many of the services requiring moderate sedation, including the bronchoscopy codes. If a bronchoscopist provides moderate sedation to a patient without using anesthesia services or another qualified provider, that work (and revenue) can be reclaimed by using the relevant codes. An understanding of the recent changes in coding and billing is essential for appropriate reimbursement.Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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