ED Coding & Reimbursement Alert - 2017 Issue 2
Moderate Sedation: Missing This CPT® 2017 Change Could Blow Up Your Bottom Line
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Article Overview
This piece covers a CPT 2017 update that changed how moderate sedation is reported for many procedures. It is aimed at coders, billers, and physician practices that perform surgery, endoscopy, and vascular procedures, and it discusses the broader shift in reporting, payment impacts under the Medicare Physician Fee Schedule, and where readers are directed for further guidance on moderate sedation reporting.
Why This Topic Matters
The article matters because it highlights a major coding and payment change that can affect reimbursement, workflow, and reporting accuracy for common procedures performed by surgeons and other proceduralists.
Article Sections
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Payment reduction and separate reporting
Introduces the 2017 coding change, its reimbursement impact, and the need to report sedation separately in relevant cases.
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Understand Endoscopy Transformation
Explains the broader shift in endoscopy-related coding and the practice changes associated with the removal of bundled sedation from many procedure codes.
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Look for Vascular Impact, Too
Summarizes the parallel coding changes affecting vascular and catheter-based procedures.
What You Will Learn
- How the CPT 2017 moderate sedation change affects reporting for affected procedures
- Why reimbursement may change when bundled sedation is removed from procedure codes
- Which broad categories of procedures are impacted, including endoscopy and vascular services
- Where the article directs readers for additional guidance on moderate sedation reporting
Who Should Read This
- Medical coders
- Billing staff
- Physician practice managers
- General surgeons
- Endoscopy practices
- Vascular procedure practices
Codes Discussed
Code Ranges Discussed
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