My concern is regarding the sedation codes used for dental anesthesia as – D9220. D9221, D9230, D9241, D9242 and D9248. If the provider is credentialed as a specialist, will there be a difference in the amount paid and allowed by the insurance companies?
Usually there is a slight difference is the amount paid; this is carrier driven so it is best to check the Utilization Review Guidelines for each carrier to determine reimbursement levels.
American Dental Coders Association
3120 W Carefree Hwy. Suite 1
Phoenix, AZ. 85086