Has anyone been using moderate sedation codes G0500 - 99153 on Medicare claims? Is it reimbursed? Do they cover it for a screening colonoscopy only and not diagnostic or EGD?I find it confusing that in MLN Matters (MM 10075) the implementation date of these codes is Oct 2, 2017 yet in MCR Publication (# 100-04 transmittal: 3763) all contractors are asked to pay for them on claims dated Jan 1, 2017 or later.Any feedback appreciated!
Clinical Example (99152)
A patient undergoes a procedure that requires moderate sedation. The treating physician will perform both the supported procedure and the moderate sedation service. The physician will supervise and direct an independent, trained observer who will assist in monitoring the patient's level of consciousness and physiologic status throughout the procedure.
Description of Procedure (99152)
The physician or other qualified health care professional performs presedation patient assessment; supervises or personally provides the administration of the sedating agent, with or without an analgesic; and supervises an independent, trained observer who monitors the patient's level of consciousness and physiologic status throughout the procedure. The patient is assessed continuously throughout the procedure to achieve an effective and safe level of moderate sedation. Additional doses of the sedating agent(s) are ordered or provided by the physician as needed. The physician's intraservice time ends when the procedure is complete, the patient is physiologically stable, and face-to-face physician time is no longer required.