cpt 00170, cpt code 00170, 00170 cpt code
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CPT 00170 | Anesthesia Intraoral Procedures (Including Biopsy)

CPT code 00170 can be reported when an anesthesia provider performs an anesthesia service during an intraoral procedure on a patient. A biopsy is included in this procedure.

Description

The official description of the 00170 CPT code is: “Anesthesia for intraoral procedures, including biopsy; not otherwise specified.

Billing Guidelines

The American Society of Anesthesiologists (ASA) assigned five base units to CPT 00170.

Diagnosis coding is important to substantiate coverage of CPT code 00170.

Anesthesia provided in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting the teeth is non-covered by Medicare.

Anesthesia for dental restoration should be billed under CPT anesthesia code 00170 with the appropriate modifier, minutes and most specific diagnosis code.

Reimbursement is formula-based, with no additional payment being made for a biopsy. A provider does not have to perform a biopsy to bill this code.

Procedure

Before an intraoral procedure, an anesthesia provider performs a pre-operative evaluation of the patient.

The anesthesia provider induces and monitors the patient during the intraoral procedure. A biopsy is included. The intraoral procedure is provided by another health provider.

The anesthesia provider notes any types and amounts of medications administered during the intraoral procedure. All forms of monitoring are used, and patient responses are the start and stop times of anesthesia care are monitored. 

Following the intraoral procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care. 

Historical Information

Change TypeChange DatePrevious Descriptor
Code Added01-01-1990

ICD-10-CM Codes For CPT 00170

C02.3Malignant neoplasm of anterior two-thirds of tongue, part unspecified
C02.9Malignant neoplasm of tongue, unspecified
C06.0Malignant neoplasm of cheek mucosa
D02.0Carcinoma in situ of larynx
D10.30Benign neoplasm of unspecified part of mouth
D10.39Benign neoplasm of other parts of mouth
D22.0Melanocytic nevi of lip
D23.0Other benign neoplasm of skin of lip
E08.630Diabetes mellitus due to underlying condition with periodontal disease
E09.630Drug or chemical induced diabetes mellitus with periodontal disease
E10.630Type 1 diabetes mellitus with periodontal disease
E11.630Type 2 diabetes mellitus with periodontal disease
E13.630Other specified diabetes mellitus with periodontal disease
J35.01Chronic tonsillitis
J35.1Hypertrophy of tonsils
J38.2Nodules of vocal cords
J38.3Other diseases of vocal cords
J39.2Other diseases of pharynx
K02.53Dental caries on pit and fissure surface penetrating into pulp
K02.63Dental caries on smooth surface penetrating into pulp
K02.9Dental caries, unspecified
K04.7Periapical abscess without sinus
K05.10Chronic gingivitis, plaque induced
K05.5Other periodontal diseases
K06.1Gingival enlargement
K06.2Gingival and edentulous alveolar ridge lesions associated with trauma
K06.8Other specified disorders of gingiva and edentulous alveolar ridge
K08.3Retained dental root
K08.89Other specified disorders of teeth and supporting structures
K09.8Other cysts of oral region, not elsewhere classified
K09.9Cyst of oral region, unspecified
K12.2Cellulitis and abscess of mouth
K14.0Glossitis
L02.01Cutaneous abscess of face
L03.211Cellulitis of face
L03.212Acute lymphangitis of face
R04.2Hemoptysis

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