2025 HCPCS Code G0330

Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room

TAGS: rehabilitation operating dental intravenous performed patient sedation anesthesia requires facility monitored

Short Description	Facility svs dental rehab
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Code Added Date	January 01, 2023
HCPCS Action Effective Date	January 01, 2024
HCPCS Pricing Indicator Code	53 - Statute
HCPCS Type Of Service Code	2 - Surgery
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number