Wiki Moderate sedation CPT code 99153 - Medicare denials

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Hello,
Have you looked at the 2022 National Physician Fee Schedule RELATIVE VALUE File on the CMS website? The column J-heading of "Facility NA Indicator" has an NA Indicator for all Facility Settings. Meaning, an “NA” in this field indicates that this procedure is rarely or never performed in the facility setting, hence your denials. Here is the CMS website link: https://www.cms.gov/Medicare/Medica...nt/PhysicianFeeSched/PFS-Relative-Value-Files

Hope this helps!
 
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