Mod Sedation Non-IV - CDT Code Guide
Overview
CDT code D9247 refers to the administration of moderate sedation through non-intravenous parenteral methods, billed for each subsequent 15-minute increment or any portion thereof. This procedure is used to help manage patient anxiety and discomfort during dental procedures where intravenous sedation is not suitable or preferred. Moderate sedation allows patients to remain conscious and responsive, yet relaxed and pain-free, making it ideal for patients with dental anxiety or those undergoing lengthy procedures. Clinically, this code is applicable in scenarios where non-IV sedation is necessary due to patient medical history, preference, or specific procedural requirements.
When to Use This Code
- When a patient requires moderate sedation but cannot have IV sedation due to medical conditions.
- During lengthy dental procedures where patient comfort is a concern.
- For patients with significant dental anxiety who prefer non-IV sedation methods.
- In pediatric dentistry where non-invasive sedation is preferred.
- When transitioning from initial sedation to maintain sedation levels throughout the procedure.
Documentation Requirements
- Detailed patient medical history and assessment justifying the need for sedation.
- Time logs indicating the duration of sedation in 15-minute increments.
- Consent forms signed by the patient or guardian, specifically for moderate sedation.
- Sedation monitoring records, including vital signs and patient responsiveness.
- Procedure notes detailing the type of sedation administered and patient response.
Billing Considerations
When billing for D9247, ensure that the initial sedation code is also included if applicable. Note that this code is used for each additional 15-minute increment, so accurate time tracking is crucial. Common modifiers may include those indicating the specific type of sedation or patient condition. Insurance policies may vary in coverage for sedation, so pre-authorization might be necessary.
Related CDT Codes
Frequently Asked Questions
No, D9247 is used for each subsequent 15-minute increment after the initial sedation period.
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