99152 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 aged five years or older.
In Plain Language
light sleep medication given by the doctor doing your procedure
Clinical Context
Used when the procedure provider directly administers moderate sedation to a patient five years or older for diagnostic or therapeutic procedures.
RVU Breakdown
| Work RVU | 0.25 |
| Total RVU | 0.25 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 0.25, this code ranks in the 16th percentile among Medicine codes — 3.1x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 99152?
CPT 99152 (Mod sed same phys/qhp 5/>yrs) is a Medicine code. Moderate sedation or anesthesia administered by the same physician/qualified healthcare provider who performs the procedure on a patient aged five years or older.
Who uses CPT code 99152?
CPT 99152 is used by Gastroenterology, Cardiology, Surgery. Used when the procedure provider directly administers moderate sedation to a patient five years or older for diagnostic or therapeutic procedures.
When is CPT 99152 used?
Used when the procedure provider directly administers moderate sedation to a patient five years or older for diagnostic or therapeutic procedures.
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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.