Cardiology Coding Alert

Reader Question:

Seek Out Scope of Practice for Moderate Sedation

Question: We’ll be reporting moderate sedation separately in 2017 thanks to the CPT® changes eliminating the moderate sedation symbol. Can you explain who needs to administer the sedation for 99151-99153?

Codify Subscriber

Answer: The short answer is available 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 of the patient’s level of consciousness and physiological status …).

The same provider performing the diagnostic or therapeutic service provides the sedation. But your question takes the issue to the next level by asking who actually administers the medicine.

For that information, you need to check your state, professional society, and organization policies on the scope of practice for different health professionals.

You may find some of the information you need at these sites: