Conscious (Moderate) Sedation

by  Find-A-Code
January 9th, 2018

Moderate (Conscious) sedation is a drug-induced state of relaxation in which the patient is typically awake and can respond to verbal commands, but might not be able to speak. A combination of medicines is used and often include a sedative as well as an anesthetic (e.g., Propofol, Versed) to block pain and even the block the memory of the procedure itself.

The CPT codebook has extensive guidelines for reporting these codes which include definitions for pre-service work, intra-service work, and post-service work. See FindACode.com or a CPT codebook for these guidelines

The "Conscious Sedation Coding Table" has two columns for providers. The "Provider who performs the procedure" means that the provider performing the procedure is the one that is also performing the conscious sedation. If the sedation is provided by another provider who does NOT perform the procedure, then report a code from the "Different Provider" column.

Conscious Sedation Coding Table
Total Sedation Intra-Service Time Provider Who Performs Procedure Different Provider
Codes Codes
Patient < 5 yrs Patient > 5 yrs Patient < 5 yrs Patient > 5 yrs
10-22 min 99151 99152 99155 99156
23-37 min 99151 + 99153 X 1 99152 + 99153 X 1 99155 + 99157 X 1 99156 + 99157 X 1
38-52 min 99151 + 99153 X 2 99152 + 99153 X 2 99155 + 99157 X 2 99156 + 99157 X 2
53-67 min 
(53 min to 1 hr 7 min)
99151 + 99153 X 3 99152 + 99153 X 3 99155 + 99157 X 3 99156 + 99157 X 3
68-82
(1 hr 8 min to 1 hr 22 min)
99151 + 99153 X 4 99152 + 99153 X 4 99155 + 99157 X 4 99156 + 99157 X 4
83 min or longer add 99153 add 99153 add 99157 add 99157

Coding Tips

Conscious (Moderate) Sedation. (2018, January 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/conscious-moderate-sedation-32769.html

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