Moderate sedation codes

MercedesHM7

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Providence, RI
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I am a GI coder/biller and am unsure if I should always be billing the new moderate sedation codes with the colonoscopies and upper endoscopies. The codes are 99156 (99157 add on) and 99152 (99153 add on). Our practice is brining in CNRA's and I just want to be sure that I'm doing things correctly. It's unclear to me if these codes should only be billed when a CNRA is present or anytime moderate sedation is used. Any information is greatly appreciated!!
 

LisaAlonso23

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Sherman, TX
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Moderate sedation is generally done by the surgeon without an anesthesiologist or CRNA present, as the patient is not put out completely. The CRNA would use either general anesthesia or MAC requiring the use of the anesthesia CPT codes..
 
Last edited:

cgaston

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Clarence, NY
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These codes are only to be billed if the surgeon ALSO administers the anesthesia.

If a CRNA is administering the anesthesia then your provider will only bill for the surgical portion of the case and the CRNA will bill for the anesthesia.
 
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