Blue Cross Blue Shield FEP Dental
General Services
General Services
Anesthesia 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 (combined with D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment)
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment - Up to 8 total units of anesthesia (combined with D9222 Deep sedation/general anesthesia – first 15 minutes)
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 (combined with D9243 Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment)
D9243 Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment - Up to 8 total units of anesthesia (combined with D9239 Intravenous moderate (conscious) sedation/analgesia – first 15 minutes)
D9222 Deep sedation/general anesthesia – first 15 minutes - Up to 8 total units of anesthesia (combined with D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment)
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment - Up to 8 total units of anesthesia (combined with D9222 Deep sedation/general anesthesia – first 15 minutes)
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 (combined with D9243 Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment)
D9243 Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment - Up to 8 total units of anesthesia (combined with D9239 Intravenous moderate (conscious) sedation/analgesia – first 15 minutes)