Negotiated reimbursement rates for D0140 across 29 states, sourced from CMS Transparency in Coverage data. 647 rate records.
D0140 is used for a limited oral evaluation that is problem-focused, often employed when a patient presents with a specific issue or concern. This evaluation is more targeted than a comprehensive exam and is typically used to diagnose a particular problem, such as pain or swelling. Documentation should clearly outline the patient's complaints, clinical findings, and any necessary diagnostic procedures performed. Reimbursement for D0140 can vary widely among payors, with some requiring prior authorization for coverage. It's advisable for billing professionals to familiarize themselves with the policies of different insurance companies to optimize reimbursement.
Reimbursement rates for D0140 vary significantly by state, payor, and provider network. The national average negotiated rate is $197. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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