Negotiated reimbursement rates for D0369 across 7 states, sourced from CMS Transparency in Coverage data. 520 rate records.
D0369 is used for a Cone Beam CT scan focused on maxillofacial structures. This advanced imaging technique is essential for diagnosing and planning treatment for a variety of conditions affecting the facial skeleton. Documentation should include a detailed clinical rationale for the scan, including any specific concerns regarding the maxillofacial region. The average reimbursement for D0369 is approximately $959, but this can vary widely among payors and states. Some insurers may have specific guidelines or limitations, making it crucial for billing professionals to be familiar with the reimbursement landscape for this procedure.
Reimbursement rates for D0369 vary significantly by state, payor, and provider network. The national average negotiated rate is $959. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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