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June 2016

Bill FEP dental anesthesia codes on one line

Claims for Federal Employee Program® members with dental anesthesia procedure codes *D9223 and *D9243 must be billed on one line with the quantity maximum.

FEP will reject the claim lines when multiple claims lines are billed for these procedure codes. If the provider has a quantity of three for either procedure code D9223 or D9243, use one claim line with the procedure code and the numeral “3” in the quantity field.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.
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