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)

Active code Special coverage instructions apply

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
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
P1G Major 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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.