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Billing ear foreign body removal under sedation

The scenario

4-year-old with a bead in the right ear. Requires procedural sedation for removal. Night shift.

How to bill it

Level 2 night (01832) at 50% = $74.47 + 06063 FB removal under GA $306.47 = $380.94. Do NOT bill sedation codes (01172/01173) alongside 06063; it's a with-GA code. The age modifier (1065 age <1yr) does NOT apply as patient is 4yo.

What to watch for

Consider the FB removal code that applies when GA/sedation is used, plus age modifiers.

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