The final Medicare Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) rule was formally published in the Federal Register on November 23, 2022. This new hospital code will help increase access to dental surgeries under general anesthesia in hospital operating rooms and came about through the ADA, AAPD, and AAOMS working together.
The OPPS rule addresses payment policies and coding for dental services provided under general anesthesia in hospitals. Of special significance, the Centers for Medicare & Medicaid Services (CMS) has established a new Healthcare Common Procedure Coding System G code (G0330) and assigned that code to the Medicare Ambulatory Payment Classification (APC) 5871 (Dental Procedures) with a national average Medicare facility payment rate of $1722.43. This facility payment rate is much higher and far more appropriate than what was used in the past.
The groups have prepared an FAQ on the new code.
New Dental Code FAQs