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MedicaidBilling CodesMedium impact

Dental Anesthesia and Facility Use Procedure Codes Added under Medical Coverage

Illinois Medicaid - HFS·IL · Anesthesiology, Dentistry, Oral & Maxillofacial Surgery·Provider Notice
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid now allows medical anesthesiologists and CRNAs to bill for dental anesthesia services using CDT codes D9222, D9223, D9239, and D9243, effective July 1, 2024. Hospitals and ASCs can also bill facility fees using G0330 for dental rehabilitation procedures requiring monitored anesthesia in operating rooms.

Action Required

Action needed
Immediately: Billing teams at hospitals, ASCs, and practices with anesthesiologists/CRNAs should update billing systems to allow CDT codes D9222, D9223, D9239, D9243 for medical anesthesia providers performing dental anesthesia services. Hospitals and ASCs must add G0330 for facility billing when dental rehabilitation requires monitored anesthesia in operating rooms. Contact Illinois Medicaid at 877-782-5565 for FFS claims questions.

Affected Billing Codes

D9222
D9223
D9239
D9243
G0330