Results 1 to 4 of 4

Timing for moderate sedation

  1. #1
    Default Timing for moderate sedation
    Exam Training Packages
    When billing moderate sedation, does the amount of time need to reach the halfway point specified in CPT in order for the code to be billed? For instance, if the time is stated as 35 minutes, would that be billed 99144 or 99144+99145? Also, if you can give me a reference I would appreciate it. I vaguely recall reading something about a clarification on this issue, but don't remember the source.
    Thanks for your help.

  2. #2
    Default
    rcrosse
    New Join Date: Apr 2007
    Posts: 1


    Moderate/Conscious Sedation Question

    --------------------------------------------------------------------------------


    We are new to moderate sedation coding and are trying to figure out if we can bill for sedation when the case is shorter than 30 minutes since the procedure code reads "First 30 Minutes". We also need to know if we can bill for less than 15 minutes additionally. We bill general anesthesia based on 1-15 minute increments, but did not know if this also applied to moderate sedation. If anyone has or can point me in the direction of proper guidelines, I would really appreciate the information.

    Rhonda Crosse, CPC


    rcrosse
    View Public Profile
    Send a private message to rcrosse
    Find all posts by rcrosse

    #2 03-25-2009, 11:03 AM
    CathyO
    Contributor Join Date: Apr 2007
    Posts: 23


    moderate sedation

    --------------------------------------------------------------------------------

    Since the code for moderate sedation is not an anesthesia code, you would not follow the same guidelines as anesthesia. The first moderate sedation code is basically stating "up to" the first 30 minutes. The additional code is also "up to" the next 15 minutes. And if it passed an additional 15 minutes, you would code it again. (ex: If it was an hour, 18 yr old pt, you would code 99144, 99145x2). I believe I am correct, unless anyone else would like to suggest otherwise.

  3. #3
    Default
    In my previous post, I searched AAPC forums using the search function under keywords99144. There was a similiar Q and A that I copied and pasted. Below is from another coding forum that I found on internet search I did.

    http://www.unicormed.com/CS/forums/300/ShowPost.aspx


    From information given at the CPT 2006 Symposium, Nov. 17-18, 2005, in Chicago by the AMA. Stanley W. Stead, MD,MBA, American Society of Anesthesiologists:

    "Question: How should I report a Moderate Sedation on an adult with an independent observer that lasts 35 minutes?

    Answer: 99144, +99145."

    In the example above there were 5 minutes abouve the 30 minutes for code 99144.. ..the answer seems to indicate that +99145 means "up to" 15 minutes additional time. Hope that helps.

  4. #4
    Default timing for moderate sedation
    In answer to my previous posting, I have now come across the reference that I needed for coding moderate sedation based on time. In the 2011 CPT on page xii the instructions say, "...A unit of time is attained when the mid-point is passed. For example, an hour is attained when 31 minutes have elapsed (more than midway between zero and sixty minutes)." Based on this 99144 can be billed for 16-37 minutes. 99145 can be billed after 38 minutes up to 52 minutes.

Similar Threads

  1. Moderate sedation-code for outpatient
    By vjefcoats in forum Anesthesia
    Replies: 1
    Last Post: 06-30-2014, 12:18 PM
  2. Moderate sedation
    By alysn1drlnd in forum Outpatient Facilities
    Replies: 0
    Last Post: 06-27-2013, 11:22 AM
  3. Moderate Sedation
    By nabernhardt in forum Anesthesia
    Replies: 1
    Last Post: 11-02-2011, 01:48 PM
  4. moderate sedation
    By p39dmue in forum Anesthesia
    Replies: 2
    Last Post: 08-11-2009, 09:33 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.