Can D9222 be used for mild sedation?

No, D9222 is specifically for deep sedation or general anesthesia, not for mild or moderate sedation levels.

Is D9222 covered by insurance?

Coverage for D9222 varies by insurance provider and plan. It's important to verify coverage details with the patient's insurance prior to the procedure.

How should complications during anesthesia be documented?

Any complications should be thoroughly documented in the patient's record, including the nature of the complication, how it was managed, and the patient's response.

Who can administer D9222 anesthesia?

D9222 anesthesia must be administered by a qualified anesthesia provider, such as an anesthesiologist or a dentist with specialized training in anesthesia.

D9222

Deep Sedation/General Anesthesia - CDT Code Guide

Adjunctive General Services/Anesthesia

Overview

CDT Code D9222 refers to the administration of deep sedation or general anesthesia for the first 15 minutes of a dental procedure. This code is used when a patient requires a deeper level of sedation that affects the central nervous system, allowing them to undergo dental treatment without discomfort or awareness. The process begins when the anesthesia provider initiates the sedation protocol and continues to monitor the patient closely. This level of sedation is typically necessary for extensive dental surgeries or for patients with severe anxiety or special needs, ensuring their safety and comfort throughout the procedure.

When to Use This Code

During extensive oral surgeries such as wisdom tooth extractions.
For patients with severe dental anxiety requiring sedation.
In cases where patients have special needs that make standard procedures difficult.
When performing lengthy dental procedures that require the patient to be completely still.
For patients with medical conditions that necessitate deeper sedation levels.

Documentation Requirements

Detailed record of the anesthesia start and end times.
Documentation of the anesthesia provider's continuous presence.
Notes on the patient's response to anesthesia and monitoring protocols.
Anesthesia consent forms signed by the patient or guardian.
Record of any complications or adverse reactions during the procedure.

Billing Considerations

When billing for D9222, be aware of frequency limitations as it applies only to the initial 15 minutes of anesthesia. Common modifiers include those indicating the complexity or duration of the procedure. Insurance coverage may vary, so verify with the patient's provider to ensure compliance and proper reimbursement.

Related CDT Codes

D9223 D9243 D9248 D9230

Frequently Asked Questions

D9222 is for the first 15 minutes of deep sedation/general anesthesia, while D9223 is used for each additional 15-minute increment.

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