Negotiated reimbursement rates for D9224 across 43 states, sourced from CMS Transparency in Coverage data. 390 rate records.
D9224 refers to the administration of deep sedation or general anesthesia by a dentist for the first 15 minutes of the procedure. This code is typically used for patients who require extensive dental work and may have anxiety or other medical conditions that necessitate sedation. Clinical indications include complex surgical procedures, patients with a low pain threshold, or those who have difficulty remaining still. Documentation should include the patient's medical history, the reason for sedation, and monitoring records during the procedure. Reimbursement for this code can vary significantly by payor and state, with some insurance plans covering a portion of the cost while others may not cover sedation at all, especially in non-surgical situations.
Reimbursement rates for D9224 vary significantly by state, payor, and provider network. The national average negotiated rate is $123. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
40+ more states available with Pro ↓