Can D9225 be used for conscious sedation?

No, D9225 is specifically for general anesthesia with advanced airway management, not for conscious sedation.

Is pre-authorization required for D9225?

Pre-authorization requirements vary by insurance provider, so it is important to check with the patient's insurer prior to the procedure.

How should time be documented for D9225 billing?

Time should be documented in 15-minute increments, noting the start and end times of the anesthesia administration.

Are there any age restrictions for using D9225?

There are no specific age restrictions for D9225, but the decision to use general anesthesia should be based on clinical judgment and patient needs.

D9225

GA with Advanced Airway - CDT Code Guide

Adjunctive

Overview

CDT code D9225 refers to the administration of general anesthesia with an advanced airway for each subsequent 15-minute increment or any portion thereof. This procedure is typically used in dental settings where patients require deep sedation for complex or lengthy dental surgeries. The use of advanced airway techniques ensures that the patient's airway is protected and maintained throughout the procedure, which is crucial for patient safety. Dental professionals may encounter this scenario in cases involving extensive oral surgery, patients with severe anxiety, or those with special healthcare needs that necessitate a controlled and sedated environment.

When to Use This Code

During lengthy oral surgeries requiring extended anesthesia time.
For patients with severe dental anxiety needing prolonged sedation.
In cases involving patients with special healthcare needs requiring controlled sedation.
When additional time is needed beyond the initial anesthesia period.
For complex dental procedures that exceed the initial anesthesia duration.

Documentation Requirements

Detailed anesthesia record including start and end times.
Documentation of the need for advanced airway management.
Patient consent for the use of general anesthesia.
Clinical notes justifying the need for extended anesthesia time.
Record of monitoring vital signs during the procedure.

Billing Considerations

When billing for D9225, it is important to note that this code is used for each subsequent 15-minute increment after the initial anesthesia period. Ensure accurate time tracking to avoid billing discrepancies. Common modifiers include those indicating the type of anesthesia used or special circumstances. Verify with insurance providers regarding coverage limitations and pre-authorization requirements, as policies may vary.

Related CDT Codes

D9222 D9223 D9243 D9248

Frequently Asked Questions

D9222 is used for the first 15 minutes of general anesthesia, while D9225 is for each subsequent 15-minute increment.

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