Hello, My 9 year old had oral surgery to extract an impacted “extra” tooth in the center of the roof of his mouth. Insurance denied the claim for the anesthesia saying the procedure (D7240) was not an eligible surgical procedure. How on earth is that not eligible? Was my 9 year old son supposed to lay there away for 30 minutes while the surgeon cut open the roof of his mouth and dug around for a rogue tooth? I need help fighting this claim but I don”t understand the jargon. Here are the codes on the explanation of benefits: D7240, Extract impacted tooth comp bony D9222, Deep sedation/gen anes 1st 15 D9223,02, Deep sedation/gen anes addl 15 Any guidance, info or advice is much appreciated.
