moderate sedation

  1. M

    Wiki Moderate Sedation Time 99152

    Does anyone have any resources on how long intraservice time needs to be to bill 99152. The code says initial 15 minutes. Is that any number of minutes up to 15 min. or is there a certain number that has to be reached.
    • mah3434
    • Thread
    • anesthesia ivcs moderate sedation
    • Replies: 3
    • Forum: Anesthesia
  2. S

    Wiki Moderation Sedation during Colonoscopies and EGD's

    When coding Outpatient Colonoscopies and EGD's are we to also code the MAC separately (99152, 99153; in this instance)? The sedation is inclusive to the procedure, correct? The CPT description for the procedure(s) doesn't say to code the sedation separately and to my knowledge the sedation has...
    • swilks99705
    • Thread
    • colonoscopy coding egd moderate sedation outpatient procedure
    • Replies: 2
    • Forum: Anesthesia
  3. K

    Wiki ASC Moderate Sedation

    Billing for both ASC (POS 24) as well as professional/MD: Moderate sedation (99152, 99153) was performed in the ASC, and I understand that it is included in the ASC pricing for primary procedure and should not be included on the facility claim however, my question is, could 99152 billed on the...
  4. K

    Wiki Does SNF have pmt responsibility for 99152?

    Dr did Kyphoplasty on SNF patient in the Office Setting. 99152/99153 were moderate sedation codes billed along with the 22513 for kyphoplasty. Medicare paid 22513...Denied 99152/99153 stating it is responsibilit of SNF. For non-SNF patients, Medicare does pay 99152/99153. Does anybody have any...
  5. B

    Wiki 99156 moderate sedation and other procedures?

    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 attention or can you still perform other procedures?
  6. 5

    Wiki Moderate sedation services

    Hello, When you bill out codes 99151-99157, you enter this on the professional claim of the provider who performed the service...correct? Lets say, it was during a ESI 62323 and the MD that did the injection, and they had a RN that was administrating the moderate sedation service. We would...
    • 574coding
    • Thread
    • 99152 conscious sedation moderate sedation
    • Replies: 2
    • Forum: Anesthesia
  7. C

    Wiki 99152 Moderate Sedation Guidelines?

    Can someone PLEASE provide the proper guidelines in billing moderate sedation code 99152? Our Dr performs a heart cath. He does NOT push the sedation meds himself. The person who actually does push the meds, is NOT an employee within the same practice. He/She is an employee of the hospital. My...
    • Cpolisena
    • Thread
    • 99152 anesthesia cardiology catheter moderate sedation
    • Replies: 2
    • Forum: Cardiology
  8. C

    Wiki 99152 Proper Billing Guidelines PLEASE!

    Can someone PLEASE provide the proper guidelines in billing moderate sedation code 99152? Our Dr performs a heart cath. He does NOT push the sedation meds himself. The person who actually does push the meds, is NOT an employee within the same practice. He/She is an employee of the hospital. My...
    • Cpolisena
    • Thread
    • 99152 anesthesia cardiology catheter moderate sedation
    • Replies: 1
    • Forum: Anesthesia
  9. C

    Wiki Moderate Sedation with Screening Colonoscopy getting CO4 denials

    We are getting many denials, from all payers, on moderate sedation codes. Is it appropriate to attach the same diagnosis to the moderate sedation, that is used as the primary diagnosis for the procedure? Is there a different diagnosis that should be used - instead, or in addition to? Also...
  10. J

    Wiki ABN/modifiers/moderate sedation

    I understand the following to be a question to and response from the AMA about time in moderate sedation: _______________________________________________________________________________________________________________________ Question: Is it appropriate to report the moderate (conscious)...
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