MEAH95
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Our ABS is owned by the local hospital. Our providers perform procedures there daily. We (Physician billers) got notified by the hospital billers that we should be billing 99152 in addition to the procedures done there. (52000, 52287 so on)
After looking at the cpt book, it sounds like if we have the intraservice time documented and the name of the nurse performing the the patient monitoring, and the periodic updates on pt status, we can also bill 99125 (99% of patients over there are over 5)
99152 does not bundle with the procedures. Our provider is the one who administers the moderate sedation and nursing watches it as he performs the procedure.
Has anyone else heard of this? Guidelines?
After looking at the cpt book, it sounds like if we have the intraservice time documented and the name of the nurse performing the the patient monitoring, and the periodic updates on pt status, we can also bill 99125 (99% of patients over there are over 5)
99152 does not bundle with the procedures. Our provider is the one who administers the moderate sedation and nursing watches it as he performs the procedure.
Has anyone else heard of this? Guidelines?
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