Negotiated reimbursement rates for D0381 across 5 states, sourced from CMS Transparency in Coverage data. 18 rate records.
D0381 is designated for Cone Beam CT — Other Capture, which encompasses additional imaging captures not specified in other codes. This procedure is often used when unique imaging is required for specific clinical situations. Proper documentation should detail the necessity of the imaging, including the clinical findings that prompted the capture. Reimbursement rates for D0381 can differ widely among payors, with some states offering higher reimbursement rates due to regional demand for advanced imaging services.
Reimbursement rates for D0381 vary significantly by state, payor, and provider network. The national average negotiated rate is $309. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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