CPT update: Spend time on moderate sedation; stop self-inflicted pay cuts next year

Why This Topic Matters

The article addresses a reimbursement-sensitive coding change that can affect how moderate sedation is captured and paid under CPT 2017. It matters to practices because documentation, timing, and procedure bundling changes can influence whether services are reported consistently and whether payment is undercounted.

Article Sections

1. Overview of the CPT 2017 moderate sedation changes

   Introduces the scope of the moderate sedation update and its impact on reporting and reimbursement. It frames the discussion around revised CPT guidance and practice readiness.

2. New policy, new revenue risk

   Describes how changes in reporting can affect payment for procedures that overlap with moderate sedation. It contrasts the earlier framework with the newer approach at a broad level.

3. Modified time rules for moderate sedation

   Summarizes the revised time-based structure for the new moderate sedation reporting framework. It explains that the article discusses timing thresholds and how service duration is evaluated.

4. Understand intraservice work

   Reviews the article’s discussion of work performed during the service period versus before and after the service. It focuses on documentation and the distinction between phases of care.

5. 4 steps to take now

   Outlines practical preparation topics for practices updating tools, chart review, time capture, and procedure screening. It emphasizes operational readiness for the new CPT guidance.