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?

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  • 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?

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?

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Asked on March 11, 2015
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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.

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Answered on March 12, 2015
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