G0500 and 99152

Has anyone started using these codes for sedation monitoring for endoscopic services?


Dena Rumisek
Grand River Gastroenterology PC
Grand River Endoscopy Center
616-752-6529

Comments

  • I thought it was all endoscopic services except EUS and ERCP

    Dena Rumisek
    Grand River Gastroenterology PC
    Grand River Endoscopy Center
    616-752-6529
  • All the anesthesia included indicators have been eliminated in the CPT book. Take for instance, 45378 that used to have a black dot noting that anesthesia was included, that is no longer listed

    Dena Rumisek
    Grand River Gastroenterology PC
    Grand River Endoscopy Center
    616-752-6529
  • We are using them in our ASC and out pt hospital when conscious sedation is used

    Dena Rumisek
    Grand River Gastroenterology PC
    Grand River Endoscopy Center
    616-752-6529
  • The instructions at the beginning of CPT Appendix B says moderate sedation would not be separately reported as denoted by the bullseye symbol (the picture has the line through it)
  • For those who are billing G0500, are you doing additional documentation?  This is what gMed is saying is required-

    - Patient’s age, of which can be obtained from anywhere in the chart.

    - History, physical and diagnostic test(s) reviews, as appropriate when performing sedation.

    - Duration of moderate sedation. Intra-service time should be documented based on the specific number of minutes, as opposed to a range of time, to meet all payer requirements. If the physician does not document his/her intra-service time or if the time is less than 10 minutes, the service is not reportable.


    - Example:  “Moderate Sedation of 23 minutes was administered by _________”

    - Best practice to have Moderate Sedation Notation on the Procedure Op report but can be noted on the “Intra-service RN note” (not the pre- or -post RN notes—has to be the intra-service)

    - Who provided the sedation and procedure(s).

    - Pre- and post-sedation assessment and/or monitoring.
     Scott D. Levenson, MD Digestive Care Medical Center, Inc. 1000 Laurel Street San Carlos, CA 94070Phone: (650) 596-8800 Fax: (650) 596-8802
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