Negotiated reimbursement rates for D9239 across 44 states, sourced from CMS Transparency in Coverage data. 544 rate records.
D9239 is designated for intravenous moderate sedation administered by a dentist for the first 15 minutes. This sedation method is often used for more invasive procedures or for patients who require deeper sedation than nitrous oxide can provide. Clinical indications include surgical extractions, periodontal surgeries, or other complex treatments. Documentation must include the patient's medical history, sedation protocols followed, and monitoring details. Reimbursement for D9239 varies by payor and state, with some insurance companies covering it based on the procedure's complexity and the patient's medical necessity, while others may have strict limitations.
Reimbursement rates for D9239 vary significantly by state, payor, and provider network. The national average negotiated rate is $124. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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