As a reminder, the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) reimbursement policy regarding moderate sedation services was established in 2022.
Moderate (conscious) sedation services (specifically 99151, 99152, 99153) are considered incidental to Evaluation and Management services (99091-99499), Surgical services (10004-69990), and Laboratory services (0001U-89398) and is not eligible for separate reimbursement.
View the full Bundling Guidelines reimbursement policy, specifically the Moderate (Conscious) Sedation section.
This policy applies to Commercial, Inter-Plan Program (IPP) Host, and Federal Employee Program (FEP). This does not apply to Medicare Advantage or IPP Home.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語
© 2025 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.