Anesthesia
Chapter 3
Section 1.2
Moderate (Conscious) Sedation
Issue Date:
Copyright: CPT only © 2006
American Medical Association (or such other date of publication
of CPT).
All Rights Reserved.
Revision: C-29,
August 9, 2018
1.0 CPT PROCEDURE
CODES
99151 - 99153, 99155 - 99157
2.0 HCPCS
Procedure CodeG0500
3.0 DESCRIPTION
Moderate
(conscious) sedation is a drug induced depression of consciousness
during which patients respond purposefully to verbal commands, either
alone or accompanied by light tactile stimulation.
4.0 POLICY
4.1 Conscious
sedation is bundled into many procedures. Conscious sedation is
not covered separately when provided by the same physician as it
is considered an integral part of the primary procedure.
4.2 If
a physician performs a procedure that does not bundle conscious
sedation and the same physician also performs moderate sedation,
it is appropriate to separately bill Current Procedural Terminology
(CPT) procedure codes 99151 - 99153.
4.3 If
a second physician performs conscious sedation (other than the professional
performing the diagnostic or therapeutic service) it is appropriate
to separately bill CPT procedure codes 99155 - 99157, if the site
is in a facility setting.
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