Question

A 5 year-old fell on broken glass and required suturing of a laceration. due to the age and combative behavior of the patient, the provider utilized moderate sedation while repairing the laceration. the provider gave the child 50 mg of ketamine im. a nurse monitored the patient during the procedure which took 30 minutes. what cpt® code is reported for moderate sedation?

Answer 1

The CPT® code for reporting moderate sedation during the repair of the laceration in a 5-year-old patient is 99148 x 2.

Step-by-step explanation:

The CPT® code for reporting moderate sedation during the repair of the laceration in a 5-year-old patient is 99148. This code is used when a provider administers sedation to a patient under the age of 5 years old. The code includes the initial 15 minutes of moderate sedation. Additionally, since the procedure took 30 minutes, an additional unit of time (30 minutes) should be reported with the code. Therefore, the final code reported would be 99148 x 2.

Answer 2

The CPT code that will be reported for moderate sedation is 9914 [4].
This is the government approved CPT code for moderate sedation for patients that are five years old and older and the code is used when the moderate sedation and the other needed procedure is performed by the same health provider for the intraservice period of 15 to 30 minutes.