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December 3, 2007

Fee Schedule Correction for Moderate (Conscious) Sedation codes 99143, 99144, and 99145

The Part B Physician Fee Schedule amounts published for Carrier priced AMA CPT® Moderate (Conscious) Sedation codes 99143, 99144, 99145 are incorrect. The amounts have been verified and were correctly loaded into the MCS system. Therefore, submitted services effective January 1, 2006 using these codes have been paid at the appropriate amount.

The correct payment amounts are as follows:

Code Par Non-Par Limiting
99143 22.50 21.38 24.59
99144 18.50 17.58 20.22
99145 9.00 8.55 9.83

An update to the Fee Schedule has been requested and those changes will be loaded onto our website as expediently as possible. We apologize for any inconvenience this may have caused.

References: CMS Transmittal # 1324 http://www.cms.hhs.gov/transmittals/downloads/R1324CP.pdf


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