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When to use New Moderate Conscious Sedation CPT codes in 2017

We have new Cpt codes for moderate conscious sedation in 2017. Yes, old codes for Moderate Sedation will be deleted from 2017 and we will be using new set of codes for these services. We have already learned about the new CPT codes of 2017 for stent placement.  Also, there are new CPT codes for AV fistula or graft access in 2017 and for the interventional procedure in dialysis circuit. So, let us first checkout the new codes in moderate sedation section and their description in detail.

When to use New Moderate Conscious Sedation CPT codes in 2017


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New CPT code for Moderate Sedation


There are 6 new CPT codes for moderate sedation in 2017. These CPT codes are used to report moderate sedation in 15 minutes’ increments. Below is the code description of the new CPT codes in 2017 for moderate sedation.

99151 –   Moderate Sedation Services Provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age

99152 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older

+99153 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)

99155Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age

99156 Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older

+99157 Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)

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When to use CPT code 99151 and 99152


When same physician performing the diagnostic or therapeutic procedure also performs conscious sedation, we can report CPT code 99151 and 99152. If you read the description of these two CPT codes, you will understand the age of the patient will help you to code these procedures. If the patient is younger than 5 years, use CPT code 99151 and when the patient is older than 5 years, use CPT code 99152. Both these CPT codes should not be used together. Also, presence of the independent trained observer to monitor the level of patient consciousness is mandatory for coding CPT code 99151 and 99152. These CPT codes are the initial service codes for first 15 minutes for moderate sedation. For each additional 15 minutes we have separate add-on code, +99153.

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When to use CPT code 99155 and 99156


When the moderate sedation is given by physician other than the physician performing the diagnostic and therapeutic services, then we can use CPT code 99155 and 99156. Also, these CPT codes are to be used for initial 15 minutes of services. For patient younger than 5 years use CPT code 99155 and older than 5 years use CPT code 99156. For each additional 15 minutes, use add-on CPT code +99157.









This post first appeared on Interventional Radiology Medical Coding - Learn How To Code, please read the originial post: here

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When to use New Moderate Conscious Sedation CPT codes in 2017

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