erinal
Networker
I work for a pain management clinic and we do various procedures (injections, kyphoplasty's, SCS) in which we will give the patient moderate sedation services but I want to make sure we are billing for it appropriately. I understand that with the new moderate sedation codes they are in 15 minute increments. So my first question is, how many minutes does the patient need to be monitored in order to bill both the 99152 AND 99153. From my understanding you can bill 99152 if the patient is monitored for at least 10 minutes. So in order to bill for the 99153 (additional 15 minutes) does the patient need to be monitored for the first 15 minutes (to satisfy 99152) and then an additional 10 minutes to qualify for that second code (99153)?
Also, I noticed in the "Includes" section for the code 99152 it states "Intraservice work that begins with the administration of the sedation drugs and ends when the procedure is over". Does this mean that we can only bill from the time the medication is pushed to the time that the procedure is over?? I ask because we monitor the patient's for at least another 10-15 minutes after the procedure is done. We document start and stop times for the monitoring of the patient whilst under moderate sedation.
Thanks in advance!
Also, I noticed in the "Includes" section for the code 99152 it states "Intraservice work that begins with the administration of the sedation drugs and ends when the procedure is over". Does this mean that we can only bill from the time the medication is pushed to the time that the procedure is over?? I ask because we monitor the patient's for at least another 10-15 minutes after the procedure is done. We document start and stop times for the monitoring of the patient whilst under moderate sedation.
Thanks in advance!