99151 Mod sed same phys/qhp <5 yrs
Also known as: conscious sedation, procedural sedation, moderate sedation
Moderate sedation or anesthesia administered by the same physician/qualified healthcare provider who performs the procedure on a patient for less than five years or first encounter.
Clinical Context
Used when the procedure provider directly administers moderate sedation to facilitate diagnostic or therapeutic procedures.
RVU Breakdown
| Work RVU | 0.50 |
| Practice Expense RVU | 1.33 |
| Malpractice RVU | 0.03 |
| Total RVU | 1.86 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.