MedicaidBilling CodesMedium impact
Medicaid Alert MA-2023-06
New Jersey Medicaid·NJ · Dentistry, Anesthesiology·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has adopted CPT code G0330 for Ambulatory Surgical Centers (ASC) to bill when dental services are provided under general anesthesia, with reimbursement of $861.22. This applies to Medicaid beneficiaries with intellectual disabilities, developmental disabilities, early childhood caries, or chronic medical conditions requiring general anesthesia for dental care.
Action Required
Immediately: ASCs providing dental services under general anesthesia must update billing systems to use CPT code G0330 ($861.22 reimbursement). Ensure dentists bill separately for D9999 and dental services provided during anesthesia. Verify anesthesiologist bills separately for anesthesia services when applicable. Update encounter forms and billing protocols for NJ FamilyCare/Medicaid beneficiaries.