G0330 – Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG0330
- Long description
- Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
- Short description
- Facility svs dental rehab
- Pricing indicator
53Statute- Medicare coverage
DSpecial coverage instructions apply- BETOS category
P1GMajor procedure - other- ASC
- Approved for ambulatory surgical centers
- Added
- January 1, 2023
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code G0330?
G0330 is a HCPCS Level II code for facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room.
Does Medicare cover G0330?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G0318 – Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)
- G0320 – Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system
- G0321 – Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system
- G0322 – The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)
- G0323 – Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)
- G0327 – Colorectal cancer screening; blood-based biomarker
- G0328 – Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
- G0329 – Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care
- G0333 – Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary
- G0337 – Hospice evaluation and counseling services, pre-election
- G0339 – Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment
- G0340 – Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment
- G0341 – Percutaneous islet cell transplant, includes portal vein catheterization and infusion
- G0342 – Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion
- G0343 – Laparotomy for islet cell transplant, includes portal vein catheterization and infusion
- G0364 – Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.