Moderate Sedation Changes 2017

Started by NOSfan
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NOSfan

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The moderate sedation codes have changed for 2017
  • Six new moderate sedation codes (CPT 99151-99157) are available to report these services separately when performed.
  • Additionally, there is now a wRVU attached to the codes.
Cheers!
 

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Does my office need any certification from state or regulatory body to perform in-office sedation for pain procedures? I understand there are certifications for ASC.
Thanks for the info NOSfan
 
So .25 wrvu for us, right?

For the most part yes. It is still billed utilizing time so: (99152) 10-22 minutes and (99152+99153) 23-37 minutes

I sedate my patients if they request at the ASC setting. Can I now bill for Moderate sedation?

Yes. This has always been the case; however, previously there was not a wRVU assigned by the RUC.

See the simple flow chart below 😀

jop0010721720002.jpeg
 
so I've been billing with 99144. Now I'll change over to 99152 for first 10 to 22 minutes of intraservice time, then 99152 + 99153 for over 23 minutes (which is rare)?