Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci General Surgery Coding Alert - 2005 Issue 2
Reader Questions: Count Out Conscious Sedation for 2005
Question: I've heard rumors that CPT will bundle conscious sedation to endoscopic procedures. Is there any truth to this?New York Subscriber
Answer: The rumors are true.Appendix G of CPT 2005 now states conscious sedation, as described by 99141 (Sedation with or without analgesia [conscious sedation] intravenous, intramuscular or inhalation) and 99142 (...oral, rectal or intranasal), is an inherent component of over 250 codes, including most procedures a general surgeon might perform.A few examples of procedures into which CPT 2005 bundles conscious sedation include:endoscopic procedures (such as 43200, Esophagoscopy, rigid or flexible; diagnostic, with or without...
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