CPT^® 99157, Under Moderate (Conscious) Sedation

The Current Procedural Terminology (CPT^®) code 99157 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, and monitors the patient beyond the 15 minutes of intraservice time covered by a primary code.

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View matching HCPCS Level II codes and their definitions.

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Have a question about CPT Code 99157 ? Start a discussion here

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 ]

Oral sedation

[QUOTE="jkyles@decisionhealth.com, post: 501990, member: 269282"] Hello there, I'm assuming you mean conscious/moderate sedation as defined by the ASA, rather than deeper sedation. If so, start by r... [ Read More ]

Oral sedation

Hello there, I'm assuming you mean conscious/moderate sedation as defined by the ASA, rather than deeper sedation. [QUOTE] [B]Moderate Sedation/Analgesia (“Conscious Sedation”)[/B] is a drug-induc... [ Read More ]

HELP PLEASE! IV PUSHES BILLED WITH MODERATE SEDATION

I think this [URL='https://www.acc.org/latest-in-cardiology/articles/2016/12/07/08/40/cpt-coding-changes-for-moderate-sedation-in-2017']footnote from the American College of Cardiology[/URL] covers th... [ Read More ]

Drug induced sleep endoscopy

[QUOTE="Manders21, post: 457575, member: 492020"] When an ENT doctor does a flexible fiberoptic laryngoscopy/drug induced sleep endoscopy, does modifier 22 get applied to code 31575 for the drug induc... [ Read More ]

Moderate Sedation

[QUOTE="RDK720, post: 454907, member: 294553"] Here is a good resource. [URL]https://www.physicianspractice.com/coding/coding-moderate-sedation-different-2017[/URL] Moderate sedation is a separately ... [ Read More ]

Moderate Sedation

[QUOTE="debemrxs4@aol.com, post: 454905, member: 536767"] Hi. Need some help with moderate sedation. Our physicians do not normally do moderate sedation, however here and there they will, so when they... [ Read More ]

MD DDS with CRNA

I work for a DDS/MD. We have a CRNA that comes in on occasion and does our anesthesia services. We have a contract with this individual to pay her a flat fee for each case. Am I able to bill the insu... [ Read More ]

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