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sedation 99152 vs G0500

Kelly Posted Thu 09th of February, 2017 16:58:56 PM
I just took on a nephrology group that does, mostly AVF procedures codes 36901 - 36909. The manager and I have been discussing sedation documentation and she received an email with the following: Here's what my instructor from AAPC stated in regards to sedation. "Always check to see if there is a HCPCS II code for Medicare. Remember, Medicare and Medicare Advantage plans prefer a "G" code, whenever available. The code you should be assigning is G0500 instead of 99152. Medicare will accept G0500 as the base code (primary service) and then accept CPT +99153 as the add-on code for an adult patient. My question shouldn't 99152 be billed instead of G0500 since G0500 is for GI services
SuperCoder Answered Fri 10th of February, 2017 03:23:18 AM

Greetings from SuperCoder.com!

 

You are correct. CMS has created this new code G0500 to be used for GI endoscopy procedures. So you cannot report this for procedures other than GI endoscopy procedures. You should choose your code from series 99151 – 99157.

 

Please feel free to write if you have any concern or questions.

 

Thanks.

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