Wiki 2017 moderate sedation - multiple procedures, same dos

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Claremont, CA
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Our physician is coding 45380 & 45385 with 99152 & 99153. Additionally, he's also coding 43235 with 99152. Does anyone know if we are allowed to bill 99152 twice? Also, if billed twice is modifier 59 appropriate on the second 99152? :confused:
 
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