Endoscopic examinations such as colonoscopy and gastroscopy require sedation.

The routine assistance of an anesthesiologist or Certified Registered Nurse Anesthetist (CRNA) for patients not meeting the above criteria (#3) who are undergoing standard upper and/or lower gastrointestinal endoscopic procedures is considered not medically necessary and is not covered.

Monitored anesthesia (deep sedation) and general anesthesia (deep sedation) is not covered for all other indications.

Endoscopy is a medical procedure of internal examination.

Endoscope is a small camera probe on top of thin elastic fibre optical wire. The probe is inserted into the body orally, rectally, through urethra (urine canal) or through a small surgical incision.

The worldwide demand for optimal sedation in patients undergoing endoscopy procedures is vast, and will likely multiply with increasing awareness of the advantages of propofol sedation, and a growing elderly population [3].

However, it must be born in mind that propofol was initially introduced as an anaesthetic agent, and has potent cardio-respiratory depressant properties [4]. Food and Drug Administration (FDA) regulations state that administration of propofol to patients should only be performed by trained anaesthesia personnel.If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. However, services with specific coverage criteria may be reviewed retrospectively to determine if criteria are being met.Retrospective denial may result if criteria are not met.Even though the test itself takes about 30 minutes, you will need extra time for registration, preoperative check-in, the test itself, and postoperative recovery.Currently, our patients' average stay is about two hours. With the modern anesthetic sedatives, your examination should be comfortable. In fact, colonoscopy is considered to be the most accurate way to determine the health of your colon.Some cases can include giving the patient a dose of antibiotics to avoid infection.