PDF Version
TO: Hospital Providers
RE: Billing for Items and Services in Connection with Dental Care
Provided
Effective for
dates of service on and after November 1, 2023, the Alabama Medicaid Agency
(Medicaid) will reimburse for G0330 - facility services for dental
rehabilitation procedures. Hospitals should use G0330 to bill for the
use of an operating room, items, and services in connection with dental care
provided in a hospital setting. Medicaid will reimburse G0330 at $1,205.70.
Hospitals should
discontinue submitting claims for D9420 (hospital or ambulatory surgical
center call) for dates of service after October 31, 2023.
A prior
authorization is not required for G0330. Claims are subject to
post-payment reviews.
Providers with
billing questions should contact the Gainwell Technologies Provider Assistance
Center at 1-800-688-7989.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2023
American Medical Association
and © 2023 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.