Deep Sedation/General Anesthesia - CDT Code Guide
Overview
CDT Code D9223 is used for billing deep sedation or general anesthesia services provided in 15-minute increments after the initial period. This code is crucial for dental procedures that require a patient to be in a deeply sedated state or under general anesthesia, ensuring patient comfort and safety during complex or lengthy treatments. The anesthesia process begins when the administering doctor initiates the protocol and continues to monitor the patient closely. It concludes when the patient is stable enough to be observed by trained personnel, allowing the doctor to attend to other duties. This code is essential in scenarios where the depth of sedation is critical for the success of the procedure and patient safety.
When to Use This Code
- During extensive oral surgery requiring prolonged sedation
- For patients with severe anxiety or special needs requiring deep sedation
- In cases of complex dental implant placement
- When performing multiple extractions or reconstructive surgeries
- For pediatric patients undergoing lengthy dental procedures
Documentation Requirements
- Detailed anesthesia record including start and end times
- Documentation of the anesthesia protocol and monitoring procedures
- Anesthesia provider's notes on the effects on the central nervous system
- Patient's medical history and pre-anesthesia evaluation
- Informed consent for anesthesia from the patient or guardian
- Post-anesthesia recovery notes and discharge criteria
Billing Considerations
When billing for D9223, ensure that each 15-minute increment is accurately documented. Be aware of payer-specific guidelines regarding the frequency and duration of anesthesia billing. Common modifiers include those indicating the type of anesthesia or special circumstances. Verify with insurance providers for coverage specifics, as some may have restrictions on the use of deep sedation codes.
Related CDT Codes
Frequently Asked Questions
D9223 is used for each additional 15-minute increment of deep sedation/general anesthesia after the initial period covered by D9222.
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