Moderate Sedation with Angiograms

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Question:

We don’t always have an anesthesiologist for our diagnostic angiograms. Can I bill 99144 for sedation or is that “bundled” in the new 36XXX codes?

Answer:

Good question because moderate sedation is not included in the arterial catheterization codes (e.g., 36217). However, the new angiography codes (36221-36228) have the “bulls-eye” symbol next to them so that means moderate sedation by the performing physician is included and not separately reported.