Non-IV Conscious Sedation - CDT Code Guide
Overview
CDT Code D9248 refers to non-intravenous conscious sedation, a technique used in dentistry to manage patient anxiety and discomfort during procedures. This sedation method involves the administration of sedative and/or analgesic agents through non-intravenous routes, ensuring the patient remains conscious and able to respond to verbal commands while maintaining their airway and protective reflexes. It is particularly useful in scenarios where patients are anxious or have difficulty tolerating dental procedures. The sedation level is carefully monitored and documented by the anesthesia provider, focusing on the effects on the central nervous system rather than the administration method.
When to Use This Code
- Patients with dental anxiety requiring minimal or moderate sedation
- Procedures expected to cause significant discomfort or stress
- Patients who have difficulty remaining still for extended periods
- When IV sedation is contraindicated or not preferred
- For pediatric patients who require sedation for dental treatment
Documentation Requirements
- Detailed patient assessment and medical history
- Informed consent specific to non-IV sedation
- Anesthesia provider's documentation of sedation level and effects
- Monitoring records during the procedure
- Post-procedure evaluation and discharge notes
Billing Considerations
When billing for D9248, ensure that the procedure is medically necessary and documented accordingly. Be aware of any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the type of sedation used. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on sedation methods.
Related CDT Codes
Frequently Asked Questions
Non-IV sedation is administered through routes other than intravenous, such as oral or inhalation, while IV sedation is delivered directly into the bloodstream.
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