This blog post applies to NY providers (Dentists) thay currently have the specialty code “810” – parenteral conscious sedation.

What is changing?

• Specialty code “810” is going to be removed
• 4 new specialty codes are created to better capture the specialty of the dental provider and comply with NYSED regulations and align with adjudication and payment for anesthesia claims

The 4 new specialty codes are:

• Specialty Code “122” – Dental Parenteral Conscious (Moderate) Sedation, 13 years of age and up
• Specialty Code “123” – Dental Enteral Conscious (Moderate) Sedation, 13 years of age and up
• Specialty Code “124” – Dental Parenteral Conscious (Moderate) Sedation, under 13 years of age
• Specialty Code “125” – Dental Enteral Conscious (Moderate) Sedation, under 13 years of age

Newly enrolling dentists:

• Please add any of the above specialty codes
• The provider license needs to reflect the selected “specialty code” on NYS professional license.

Current dental providers with speciallty code “810”:

• Need to update the enrollment file with the appropriate specialty code (s)
• And provide requested documentation before DOS 5/1/26
• If not done- any claim submitted with specialty code “810” will be denied
• Please fill out New York State Department of Health Application for Enrollment as a Specialist via either: By secure fax to the Bureau of Provider Enrollment at (518) 473-7251, Attn: Dental Specialty
  By United States Postal Service to:eMedNY
  P.O. Box 4610
  Rensselaer, NY 12144-4610
• Please attach: copy of the NYS professional license 

Coding:

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