Cardiology Question for the Week of January 30, 2017

Question:

As a follow-up to last week’s question, what codes would be reported for moderate sedation used with TEE?

Answer:

For the first 15 minutes of moderate sedation (MS) provided by the same provider performing the base procedure, report one of the following codes, depending on the patient’s age:

99151

Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age

99152

initial 15 minutes of intraservice time, patient age 5 years or older

For each additional 15 minutes of moderate sedation, report the following:

+99153

each additional 15 minutes intraservice time (List separately in addition to code for primary service)

As stated in the description, these three codes require the presence of an independent trained observer to monitor the patient’s level of consciousness and physiological status during the procedure. This observer must not have other duties at the same time.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Cardiology Question for the Week of January 30, 2017

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