Negotiated reimbursement rates for D0391 across 6 states, sourced from CMS Transparency in Coverage data. 39 rate records.
D0391 refers to the interpretation of a diagnostic image performed by another dentist. This procedure is commonly utilized when a dentist requires a second opinion or when a specialist interprets images taken by a general dentist. Clinical indications for this code include complex cases where additional expertise is necessary for accurate diagnosis or treatment planning. Documentation should include the images interpreted, the rationale for seeking a second opinion, and the findings from the interpretation. Reimbursement for this code can vary significantly by payor and state, with some insurers covering it fully while others may apply limitations or require pre-authorization. The average reimbursement for this procedure is around $75.
Reimbursement rates for D0391 vary significantly by state, payor, and provider network. The national average negotiated rate is $75. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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