TO: Ambulatory Surgical Centers (ASCs) and Oral Health Providers
RE: Coverage of G0330 for ASCs
Effective for dates of service on and after October 1, 2025, the Alabama Medicaid Agency (Medicaid) will reimburse ASCs for G0330 - facility services for dental rehabilitation procedures.
- Providers should utilize information in Chapter 13 – Dentist and the Provider Interactive Web Portal to verify eligibility of recipients for dental services prior to delivery of services.
- G0330 will be limited to four times per year per recipient.
- ASCs should use G0330 to bill for the use of an operating room, items and services in connection with dental care provided in an ASC setting. Medicaid will reimburse G0330 at $1,023.64.
- A prior authorization is not required for G0330. Claims are subject to post-payment reviews.
Providers with billing questions should contact the Gainwell Technologies Provider Assistance Center at (800) 688-7989.
The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2025 American Medical Association and © 2025 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.