This is the second in a series of articles on coding and documentation of anesthesia services. In the March 2014 AAP Pediatric Coding Newsletter, codes and documentation for moderate sedation services were reviewed. In this article, codes and billing methodology for deep sedation, monitored anesthesia care, and general anesthesia services will be reviewed. (See the March 2014 article for classifications of anesthesia.) A final article in this series, to be published in May 2014, will explain how the Medicare and Medicaid conditions of participation affect the provision and documentation of anesthesia services in a facility setting.

Facilities typically limit privileges for providing deep sedation services to those physicians who have completed specific training to personally perform or supervise the administration of deep sedation, including rescue from unintended general anesthesia. Pediatricians who provide emergency care, critical care, intensivist, or hospitalist services may be more frequently providing deep sedation services...

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