Last updated: March 2026CMS official rates · Free to use
Medicare Fee Schedule Lookup
Find 2026 Medicare reimbursement rates and national payment amounts for any CPT, HCPCS, or MS-DRG code. Physician Fee Schedule, Drug ASP, MS-DRG weights, Anesthesia, and Clinical Lab — sourced directly from CMS.
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99155
20252026
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Physician Fee Schedule·99155·National·2025, 2026
Current non-facility rate
$81.50▲0.0%
Facility: $81.80
Recent trend
Code description
Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 99155 | 4/2026 | N/A | 00 | 00000 | $81.50 | $81.80 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
| 99155 | 1/2026 | N/A | 00 | 00000 | $81.50 | $81.80 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
| 99155 | 10/2025 | N/A | 00 | 00000 | $79.57 | $79.86 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
| 99155 | 7/2025 | N/A | 00 | 00000 | $79.57 | $79.86 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
| 99155 | 4/2025 | N/A | 00 | 00000 | $79.57 | $79.86 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
| 99155 | 1/2025 | N/A | 00 | 00000 | $79.57 | $79.86 | Moderate Sedation Services Provided By A Physicianor Other Qualified Health Careprofessional Other Than The Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Thera- Peutic Service That The Sedation Supports; Initial15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age |
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Related codes
99151Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; Initial 15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age (Reinstated 01/01/2017).
$62.1399152Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; Initial 15 Minutes Of Intraservice Time Patient Age 5 Years Or Older. (Reinstated 01/01/2017).
$51.4499153Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Careprofes- Sional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Levelof Consciousness And Physiological Status; Each Additional 15 Minutes Intraservice Time (List Se- Parately In Addition To Code For Primary Service)
$12.36Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
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