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Welcome  » May 8, 2024 1:21 AM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Dental
05/08/2024  

Covered and Noncovered Services : Adjunctive General Services

Topic #20317

Inhalation of Nitrous Oxide

ForwardHealth covers inhalation of nitrous oxide for members when certain criteria are met.

ForwardHealth does not cover inhalation of nitrous oxide for the express purpose of controlling apprehension or when not medically necessary, pursuant to Wis. Admin. Code § DHS 101.03(96m).

Allowable Procedure Code

Providers are required to indicate inhalation of nitrous oxide using CDT procedure code D9230 (Inhalation of nitrous oxide/analgesia, anxiolysis) on all PA requests and claims.

Claims

Inhalation of nitrous oxide is billable as one unit per DOS.

 
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