3 commercial payer policies list 00170. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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3 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 00170 |
|---|---|---|
| Anesthesia Services and Moderate (“Conscious”) Sedation | Jan 6, 2026 | Covered |
| Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 00170 |
|---|---|---|
| IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures | Not recorded | Covered |