Negotiated reimbursement rates for D0380 across 4 states, sourced from CMS Transparency in Coverage data. 35 rate records.
D0380 refers to the Cone Beam CT Image Capture procedure, which involves obtaining a three-dimensional image of a patient's dental and maxillofacial structures. This imaging technique is particularly useful for treatment planning in complex cases such as implant placement, orthodontics, and surgical procedures. Documentation for billing should include the clinical rationale for the imaging, the specific areas captured, and any relevant patient history. Reimbursement for D0380 can vary significantly by payor and state; some may cover the procedure fully while others may require prior authorization or have specific limitations on coverage.
Reimbursement rates for D0380 vary significantly by state, payor, and provider network. The national average negotiated rate is $310. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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