Current Procedural Terminology (CPT®) codes and their respective guidelines for reporting moderate (conscious) sedation changed in 2006 to reflect more clinically relevant terminology and current clinical practice. Moderate sedation may be necessary when performing procedures that could be painful or traumatizing to a child or to allow the physician to more safely perform the procedure. For example, moderate sedation may be necessary when performing fracture care, repairing lacerations, draining abscesses, or performing endoscopies.

Moderate sedation is defined as a drug-induced depression of consciousness. During sedation patients can respond to verbal commands either alone or by tactile stimulation. The service requires no intervention to maintain a patent airway and spontaneous ventilation is adequate with cardiovascular function usually maintained. These services and their respective codes are distinctly different from the anesthesia codes. Minimal sedation (anxiolysis), deep sedation, and monitored anesthesia (00100–01999) are not included. Moderate sedation can be administered using...

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