If a RN (Registered Nurse) who has the necessary training to provide moderate sedation assists a physician in administering moderate sedation for the completion of an MRI diagnostic test for a patient who requires sedation, Is CPT 99152 and 99153 appropriate to report for this service? ...
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Article Overview
This Find-A-Code article explains CPT guidance related to moderate sedation reporting in the setting of a diagnostic MRI when a trained registered nurse assists the physician. It focuses on how the CPT 2017 update describes intraservice time, supervision, and monitoring concepts relevant to sedation documentation and code selection. The piece is intended for coding professionals, clinical documentation staff, and providers who need to understand when moderate sedation services may be reportable.
Why This Topic Matters
Moderate sedation reporting can affect documentation, code selection, and compliance for imaging-related services. Understanding the CPT guidance helps providers and coders distinguish the roles of the physician, qualified health care professional, and trained observer during sedation services.
What You Will Learn
- How the article frames CPT moderate sedation reporting in an MRI setting
- The general CPT concepts used to define intraservice time for sedation services
- The role distinctions discussed between the sedation provider and assisting personnel
- How the article relates CPT 2017 guidance to documentation of monitoring and supervision
Who Should Read This
- Medical coders
- Billing staff
- Radiology departments
- Physicians
- Registered nurses involved in sedation
- Compliance staff
Codes Discussed
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