Negotiated reimbursement rates for D9223 across 43 states, sourced from CMS Transparency in Coverage data. 948 rate records.
D9223 is the code for Deep Sedation or General Anesthesia for each additional 15 minutes following the initial 15 minutes. This is essential for longer procedures that require ongoing sedation. Clinical indications include complex surgeries that exceed the initial time frame. Proper documentation is critical and should include the total duration of sedation, patient monitoring details, and any complications encountered. Average reimbursement for D9223 is approximately $112, but this can differ widely based on payor policies and state regulations, with some insurers requiring prior authorization for extended sedation.
Reimbursement rates for D9223 vary significantly by state, payor, and provider network. The national average negotiated rate is $112. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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