tci Outpatient Facility Coding Alert - 2016 Issue 12

Reader Question: Know Who Will Provide Moderate Sedation in 2017

Question: We need to report moderate sedation separately in 2017, according to the CPT® update removing the moderate sedation symbol from hundreds of procedures. So, in 2017, who exactly will provide the sedation for 99151-99153? SuperCoder.com Subscriber Answer: Basically, the same provider performing the diagnostic or therapeutic service also provides the sedation. This is evident in the descriptor for codes 99151-99153 (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...

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