CPT^® 99153, Under Moderate (Conscious) Sedation

The Current Procedural Terminology (CPT^®) code 99153 as maintained by American Medical Association, is a medical procedural code under the range - Moderate (Conscious) Sedation.

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Summary

The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice time covered by a primary code; this code requires the presence of a trained observer who assists in monitoring the patient .

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Did I code correctly

I coded the following report with 36200, 75625-26, 75716-26, 99152, 99153. Did I code correctly. Also any feed back on the way the report was documented. Patient continuously monitored by trained p... [ Read More ]

Need help on UHC denials/ documentation on 99152 , 99153

Hello everyone, Looking for some inputs on this: UHC has been denying the moderate sedation code 99152 and 99153 for the Cath lab procedures (Diagnostic Coronary angiograms , PM implant procedures)... [ Read More ]

please help me on a practicode case the rationale didn't fully answer

On this case, the rationale said which CPT codes to look up but did not bother to explicitly say which were correct. I got them wrong, and I want to know if I have figured out the right ones. [QUOTE]... [ Read More ]

93312 with Moderate Sedation

We are getting conflicting information on this. Can TEE 93312 be billed with 99152/99153 moderate sedation?... [ Read More ]

does "15 minutes" in a conscious sedation code mean "up to"?

Well, now I have a case with 31 min conscious sedation. By the formula you gave, there should be 99152, 99153 and nothing else for the remaining 1 minute. Right?... [ Read More ]

does "15 minutes" in a conscious sedation code mean "up to"?

As long as you have at least the midpoint (8 minutes), you can report the add-on unit. The chart in the CPT manual is a nice reference so you don't have to do the math. The 23-37 minute range comes ... [ Read More ]

does "15 minutes" in a conscious sedation code mean "up to"?

[QUOTE="The Angel Of the South, post: 513013, member: 736514"] My practicode dinged me on this: there was conscious sedation for 25 minutes; and I entered only 99152 and not 99153, because I thought "... [ Read More ]

does "15 minutes" in a conscious sedation code mean "up to"?

My practicode dinged me on this: there was conscious sedation for 25 minutes; and I entered only 99152 and not 99153, because I thought "each additional 15 minutes" would logically not include [I]less... [ Read More ]

Is it ok to bill 99152 in an office setting?

[QUOTE="TammyBennett, post: 512579, member: 382600"] I too am billing 99156 and 99157 and getting them denied. I am going to switch to 99152 and 99153 to see if this does pay [/QUOTE] Read the descri... [ Read More ]

Is it ok to bill 99152 in an office setting?

I too am billing 99156 and 99157 and getting them denied. I am going to switch to 99152 and 99153 to see if this does pay... [ Read More ]

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