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TO: All Oral Health Providers
RE: Change to Coverage of D9223
The Alabama Medicaid Agency
(Medicaid) implemented new coverage for two units of CDT D9223 (general
anesthesia – each additional 15-minute increment), allowing for a total of 30
minutes. This change is effective for dates of service on or after July 1,
2025.
Medicaid now covers 45
minutes of anesthesia, with one unit of D9222 (first 15 minutes of anesthesia)
and two units of CDT D9223.
Claims that include D9223 and
denied for the second unit will be reprocessed for dates of service on or after
July 1, 2025.
Should providers have any
inquiries regarding the billing of dental services, please contact the Gainwell
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 © 2025 American Medical Association
and © 2025 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.