Negotiated reimbursement rates for D9247 across 34 states, sourced from CMS Transparency in Coverage data. 297 rate records.
Non-IV Moderate Conscious Sedation — Supplemental refers to additional sedation services provided when a patient requires more than what was initially planned. This can occur in situations where a patient becomes anxious or uncomfortable during a procedure. Clinical indications include unexpected patient anxiety or complications during treatment. Documentation should include the rationale for supplemental sedation, monitoring details, and any changes in the patient's condition. Reimbursement for this code varies by payor, with some insurers covering supplemental sedation under specific circumstances, while others may not reimburse at all.
Reimbursement rates for D9247 vary significantly by state, payor, and provider network. The national average negotiated rate is $119. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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