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What is the medical equivalent code for D9223? The dental insurance companies are saying that the previous code, D9220, is no longer active, and it was for 30 minutes. The new anesthesia code, D9223, is only for 15 minutes, but I have not been able to find an equivalent CPT code for it because all the CPT codes are for 30 minutes. Any help on how to cross code this properly would be appreciated.
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi guest!
D9223 - deep sedation/general anesthesia - each 15 minute increment
I believe the code you may be looking for is: 00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
Also, below are some additional anesthesia/sedation coding options for you below:
D9243 - intravenous moderate (conscious) sedation/analgesia - each 15 minute increment
D9248 - non-intravenous conscious sedation
D9230 - inhalation of nitrous oxide / anxiolysis, analgesia
00172 - Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
00174 - Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
00176 - Anesthesia for intraoral procedures, including biopsy; radical surgery
• 99143 - Moderate sedation services (other than those services described by codes 00100-01999) 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 patient's level of consciousness and physiological status; younger than 5 years of age, first 30 minutes intra-service time
• 99144 - Moderate sedation services (other than those services described by codes 00100-01999) 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 patient's level of consciousness and physiological status; age 5 years or older, first 30 minutes intra-service time
• 99145 - Moderate sedation services (other than those services described by codes 00100-01999) 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 patient's level of consciousness and physiological status; each additional 15 minutes intra-service time (List separately in addition to code for primary service)
• 99148 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time
• 99149 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time
• 99150 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intra-service time (List separately in addition to code for primary service)
Hope this helps, have a great day!
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Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,066
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That was extremely helpful. The 00170 code is what I was trying to find. Thanks so much!!!
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Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,066
Was thanked: 16 time(s) in 15 post(s)
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Very helpful info - thank you for sharing!!!
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