Can D9246 be used for pediatric patients?

Yes, D9246 can be used for pediatric patients, especially those who cannot tolerate IV sedation or have specific medical conditions that require non-IV methods.

How should I document the use of D9246?

Documentation should include the sedation method, dosage, duration, patient's response, and any monitoring details to ensure compliance and proper billing.

Are there any insurance limitations for D9246?

Insurance coverage for D9246 can vary, so it's important to verify with the provider. Some plans may have restrictions or require prior authorization.

What training is required to administer D9246?

Dental professionals must complete specific training and certification in moderate sedation techniques to safely administer D9246 and comply with state and federal regulations.

D9246

Mod Sedation Non-IV - CDT Code Guide

Adjunctive

Overview

CDT Code D9246 refers to the administration of moderate sedation through non-intravenous parenteral methods for the first 15-minute increment, or any portion thereof. This procedure is crucial in managing patient anxiety and discomfort during dental treatments that require more than local anesthesia but less than general anesthesia. Moderate sedation allows patients to remain conscious and responsive while feeling relaxed and pain-free. It is typically used in scenarios where intravenous sedation is not suitable or preferred, providing an alternative for patients with specific medical needs or preferences. Dental professionals must be trained and certified to administer this type of sedation, ensuring patient safety and compliance with regulatory standards.

When to Use This Code

When a patient requires moderate sedation but has a contraindication for IV sedation.
For patients with a strong gag reflex that impedes dental procedures.
In cases where patient anxiety levels are high, and non-IV sedation is preferred.
When performing lengthy or complex dental procedures that require more than local anesthesia.
For pediatric or special needs patients who cannot tolerate IV sedation.

Documentation Requirements

Patient's medical history and any contraindications for IV sedation.
Detailed sedation plan including dosage and method of administration.
Consent form signed by the patient or guardian acknowledging understanding of the procedure.
Monitoring records of the patient's vital signs during sedation.
Post-procedure recovery notes and any observed side effects.

Billing Considerations

When billing for D9246, ensure that the sedation is documented as medically necessary and that the procedure duration is clearly noted. Be aware of any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the specific circumstances or additional complexity of the sedation. It's essential to verify coverage with the patient's insurance, as some plans may have restrictions on non-IV sedation methods.

Related CDT Codes

D9219 D9230 D9241 D9248

Frequently Asked Questions

D9246 is for non-intravenous moderate sedation, while IV sedation codes are for intravenous methods, which involve different administration techniques and monitoring requirements.

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