Inhalation and Local Anesthesia (2021 Policy)
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Defines medical necessity, monitoring, documentation, and coverage conditions for dental anesthesia modalities (local, regional/trigeminal block, deep sedation/general anesthesia, IV and non‑IV conscious sedation, inhalation nitrous oxide) in conjunction with covered dental or medical benefits and state mandates. Includes clinical indications, contraindications, required documentation and CDT code list for billing reference.
Document revised with annual review dated 12/06/2020 and 11/12/2020 noted in history.
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