Please note this question was answered in 2023. The coding advice may or may not be outdated.
Appending Modifier 74 When Sedation is Non-Billable
Date: Dec 5, 2023
Question:
"Under CT fluoroscopy, the stomach had transited and now entirely draped in nodule and there was no longer a window. At this point we decided to abort the procedure."
Sedation time was only 7 minutes so unbillable.
We billed the CT guidance only. A coding auditing program is advising that we also bill 49180-74. Since the conscious sedation was unbillable, would this be correct?
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