Moderate Sedation Coding in 2017

December 1, 2016

I see there are new moderate sedation codes in the 2017 CPT manual. Why were these changed?

Moderate sedation codes, 99143-99145 codes have been deleted and replaced by codes, 99151-99157. These are part of a Medicare-initiated revision regarding the use of moderate sedation. All codes that previously included moderate sedation as an inherent part of the codes, such as EGD and colonoscopy, have now been revalued to exclude the sedation. As a result, if you personally supervise moderate sedation, you will now report the sedation separately. Tune in for a webinar on December 15th to hear what prompted that change.

For more detailed information about Medicare and private payer billing under these new guidelines, please join Teri Romano for a thirty minute Zipinar on December 15, 2016, focusing on the coding and reimbursement changes for endoscopy procedures. Click here for more information and registration.


*This response is based on the best information available as of 12/01/16.


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