top of page

Navigating the World of Dental Coding with Kyle: Tips and Strategies for Success

Coding with Kyle: Nitrous oxide


A smiling woman stands confidently with her arms crossed, set against a vibrant gradient background featuring shades of purple and blue. The image is overlaid with the text: "Articles for Dental Office Management" at the top, followed by the main title "Dental Coding Nitrous Oxide," and a subheading "Strategies for effective Dental practice management." The background includes subtle bubble-like designs, adding a modern and dynamic touch

Learn more about how to use code D9230 to submit insurance claims for patients who benefit from the use of nitrous oxide.


Code D9230 is to be used to inhalation nitrous oxide/analgesia and anxiolysis.

Insurance reimbursements depend on a well-documented narrative indicating the necessity for providing nitrous oxide to your patient.

If additional time was spent with the patient due to anxiety or behavior control, report D9920: Behavior management, by report in addition to D9230 for each additional fifteen minutes spent to ease the patient to be able to provide dental care.

A narrative detailing the following points can help facilitate payment should the patient’s dental plan cover the procedures.

  • High levels of anxiety required the use of nitrous oxide due to patient phobia

  • Nitrous oxide was required to obtain the full cooperation of the patient during the dental visit

  • The procedure required additional time due to behavioral management issues and to obtain the patient's full cooperation.

  • The administration of nitrous oxide successfully allowed the restoration and provided the patient with a favorable prognosis.

  • The procedure could not have been completed without the administration of nitrous oxide, which was necessary for behavioral management.


Finally, be sure to document the patient’s record should all or some of the reasons for necessity apply, and submit current radiographs and periodontal charting within the last six months if required.

Author Bio- Kyle L. Summerford founded Dental Manager Connect LLC. Being a dental office manager, dental practice consultant, and dental coding educator, he can provide services of value to dental practices and their staff nationwide. Mr. Summerford has a passion for teaching and educating within the dental community and has presented at many dental CE events and academic institutions- Stony Brook University, New York City County Dental Society, Georgia Regents University, and more.

He has authored many articles under his dental coding column, "Dental Coding with Kyle." He lectures on boosting profitability by using his unique approach to educating the patient, leading to increased case acceptance. He is the founder of Dental Office Managers Community and Dentalofficemanagers.com, both valuable resources for dentists and their staff, helping to connect dental peers and share knowledge with one another.


Connect with over 15,000 like-minded dental office managers in our vibrant Facebook community.  This hub fosters support, collaboration, and growth. Share best practices, gain inspiration, and elevate your expertise alongside your peers. Together, we can shape the future of dental office management and unlock new possibilities for success!


This article was originally published by DentistryIQ.com




bottom of page