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CPT coding is similar to ICD-10-CM coding, ... (99143–99150) moderate (conscious) sedation; Codes for surgery: 10000–69990 (10000–10022) general
Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient. The overall goal is to induce a decreased level of consciousness while maintaining the patient's ability to breathe on their own.
The American Society of Anesthesiologists defines the continuum of sedation as follows: [9] Minimal sedation – normal response to verbal stimuli. Moderate sedation – purposeful response to verbal/tactile stimulation. (This is usually referred to as "conscious sedation") Deep sedation – purposeful response to repeated or painful stimulation.
This level, called moderate sedation/analgesia or conscious sedation, causes a drug induced depression of consciousness during which the patient responds purposefully to verbal commands, either alone or accompanied with light physical stimulation. Breathing tubes are not required for this type of anesthesia. This is twilight anesthesia. [2]
The rules are intended to eliminate certain C coding practices which make code difficult to review or statically analyze. These rules are a complement to the MISRA C guidelines and have been incorporated into the greater set of JPL coding standards. [2]
The pharmacological agents used differ depending on patient, level of sedation desired and medical professional administering the sedation medications. The medications can belong to a class of drugs called sedatives , which exert their action by depressing the central nervous system , specifically those areas concerned with conscious awareness .
The mission of the American Dental Society of Anesthesiology is to provide a forum for education, research, and recognition of achievement in order to promote safe and effective patient care for all dentists who have an interest in anesthesiology, sedation and the control of anxiety and pain. [1]
Conscious sedation and monitored anesthesia care (MAC) refer to an awareness somewhere in the middle of the spectrum, depending on the degree to which a patient is sedated. Monitored anesthesia care involves titration of local anesthesia along with sedation and analgesia. [18] Awareness/wakefulness does not necessarily imply pain or discomfort.