CPT^® 99156, Under Moderate (Conscious) Sedation

The Current Procedural Terminology (CPT^®) code 99156 as maintained by American Medical Association, is a medical procedural code under the range - Moderate (Conscious) Sedation.

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Summary

A provider or other qualified healthcare professional, other than the provider performing a diagnostic or therapeutic procedure, administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or older. This code is for the initial 15 minutes of intraservice time.

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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 ]

Moderate Sedation (99156) performed by different physician in an office setting

We are getting denials stating that CPT 99156 and 99157 are not allowed to be billed in an office setting and may not be reported in a non-facility setting. We can't find where a place of service is s... [ Read More ]

Need Help on Coding

hello I need help to find out the integrated health CPT code. could please anyone advice me what is different between 99156, 99167. and is there any place on AAPC website that i can find all the CPT c... [ Read More ]

Left Lower extremity angiography, selective cath placement left SFA, aortic arch angiogram

[QUOTE="bailsb, post: 469445, member: 86485"] Hi All, Just looking for some guidance or reassurance. Indication: PVD Abnormal arterial ultrasound Procedures: 1) Left lower extremity angiography 2) ... [ Read More ]

Emergency room reduction with moderate sedation

Did you find anymore out about this? I would code 99156 for Dr Blue... [ Read More ]

moderate sedation twice in one day

One of our ER doctors did moderate sedation(15 minutes) for an ankle reduction done by another ER doctor. The patient needed further reduction done by an Ortho doctor, 1 hour later. The same ER doctor... [ Read More ]

Emergency room reduction with moderate sedation

Both of the doctors are emergency room doctors with different NPI's but the same Tax ID number. Dr. Blue sees Oliver age 25 and decides a need for a reduction to his left arm, he does the moderate sed... [ Read More ]

conscious sedation

my scenario: patient is given fentanyl, 50 mcg, IVP and versed, 1mg, IVP @ 0823. a second IVP of both meds (same dosage) @ 1036. I am billing for conscious sedation. Does this constitute 15 minutes pl... [ Read More ]

99156 moderate sedation and other procedures? 99156 i&d incision and drainage moderate sedation

If you are doing moderate sedation for a different provider who is doing TEE, can you also do I & D while the patient is under sedation? Does moderate sedation, specifically the 99156, require full at... [ Read More ]

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