99157 Mod sed other phys/qhp each
Also known as: conscious sedation add-on, procedural sedation add-on
Moderate sedation or anesthesia administered by a different physician/qualified healthcare provider for each subsequent or additional service period.
In Plain Language
additional sedation time by separate anesthesia doctor
Clinical Context
Used for each additional service period for moderate sedation administered by a separate anesthesia provider.
RVU Breakdown
| Work RVU | 1.25 |
| Total RVU | 1.25 |
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 1.25, this code ranks in the 64th percentile among Medicine codes — 1.6x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 99157?
CPT 99157 (Mod sed other phys/qhp each) is a Medicine code. Moderate sedation or anesthesia administered by a different physician/qualified healthcare provider for each subsequent or additional service period.
Who uses CPT code 99157?
CPT 99157 is used by Anesthesiology, Gastroenterology, Surgery. Used for each additional service period for moderate sedation administered by a separate anesthesia provider.
When is CPT 99157 used?
Used for each additional service period for moderate sedation administered by a separate anesthesia provider.
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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.