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Sedation 99152

Teresa Posted Fri 31st of January, 2020 12:24:22 PM
Would you bill for conscious sedation (99152) Moderate if the physician states deep sedation? I feel you should since in both cases the patient can respond. The patient was evaluated for hemodynamic and airway stability. An appropriate timeout procedure was performed. The patient was then given a total of 100 mg propofol intravenously for deep sedation. After the patient was adequately sedated, he was cardioverted in a synchronized fasion using 200 J with restoration of sinus rhythm. He awoke without difficulty.
SuperCoder Answered Mon 03rd of February, 2020 03:25:16 AM

Hi Teresa,

 

Thanks for your question.

 

As per CMS, moderate sedation does not include minimal sedation, deep sedation or monitored anesthesia care.

 

So, moderate sedation codes 991519915299153991559915699157 are not used to report administration of medications for pain control, minimal sedation (anxiolysis), deep sedation, or monitored anesthesia care (00100-01999). Medical record should contain the documentation of the type of anesthesia correctly to be billed as moderate sedation.

 

For more information, please find the CMS link below:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf

 

Please feel free to write if you have any question.

 

Thanks

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