Blue Cross Blue Shield FEP Dental
General Services
 

D9219 Evaluation for moderate sedation, deep sedation or general anesthesia

D9222 Deep sedation/general anesthesia – first 15 minutes. Up to 8 total units of anesthesia (D9222 & D9223)

D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment. Up to 8 total units of anesthesia (D9222 & D9223)

D9230 Inhalation of nitrous oxide/analgesia, anxiolysis - for children 5 and under and other individuals with a medical condition that may require it

D9239 Intravenous moderate (conscious) sedation/analgesia – first 15 minutes. Up to 8 total units of anesthesia (D9239 & D9243)

D9243 Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment. Up to 8 total units of anesthesia (D9239 & D9243)