MSP BillBudBilling a perianal abscess drained under sedation
The scenario
55M with a large perianal abscess. You drain it under procedural sedation (18 min sedation). Night shift.
How to bill it
Level 2 night (
01832) at 50% = $74.47 + 07027 deep abscess GA $255.34 = $329.81. The with-GA code bundles sedation into the fee; do NOT bill 01172/01173 separately. The GA upgrade (07027 vs 07059 $83.30) is a major pay increase for abscesses done under sedation.What to watch for
Think about the GA abscess code. Remember sedation can't be billed alongside procedures.
Ask BillBud about this scenarioChange the details (time of day, minutes, your specialty) and BillBud works out the billing for your case.
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