Negotiated reimbursement rates for D9245 across 32 states, sourced from CMS Transparency in Coverage data. 281 rate records.
Non-IV Moderate Conscious Sedation — First 15 min is a specific billing code for the initial 15 minutes of sedation provided to a patient. This procedure is essential for patients who require sedation for dental procedures, helping to alleviate anxiety and discomfort. Clinical indications include complex procedures or patients with a history of dental anxiety. Proper documentation should detail the patient's medical history, the procedure performed, and the sedation monitoring. Reimbursement can vary widely among payors, with some plans covering the cost fully while others may impose limits or exclusions based on the patient's insurance policy.
Reimbursement rates for D9245 vary significantly by state, payor, and provider network. The national average negotiated rate is $107. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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