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Apple Health Provider Alert: Billing Multiple Units of Deep Sedation/General Anesthesia

Attention Dental Providers:

Retroactive for claims with dates of service on and after March 18, 2019, the Health Care Authority requires providers who bill multiple units of deep sedation/general anesthesia (D9222/D9223) or intravenous moderate (conscious) sedation/analgesia (D9239/D9243) to list the multiple units on one line of a dental claim.


If you are billing for 60 minutes of deep sedation/general anesthesia (D9222/D9223), complete the claim lines as follows:

Claim line one - D9222 1 unit (first 15 minutes)

Claim line two - D9223 3 units (additional 45 minutes)