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Answer: Refusing payment for 00170 may be an individual state Medicaid rule; California, for example, will pay for it. If your Medicaid carrier wont, one option is to use 41899 (Unlisted procedure, dentoalveolar structures) and include a copy of the operative report. HCPCS code D9220 (General anesthesia first 30 minutes) is accepted by some Medicaid carriers. Ask your local carrier for its dental anesthesia policy.