Negotiated reimbursement rates for D0411 across 5 states, sourced from CMS Transparency in Coverage data. 30 rate records.
The CDT code D0411 refers to the HbA1c In-Office Point-of-Care Test, which is used to measure the average blood glucose levels over the past two to three months. This test is particularly indicated for patients with diabetes to monitor their glycemic control and adjust treatment plans accordingly. Documentation for this procedure should include the patient's medical history, the reason for the test, and the results obtained. Reimbursement for this test can vary significantly by payor and state, with an average reimbursement of around $64. Some insurance plans may cover this test fully, while others may require prior authorization or may not cover it at all, so it is essential for billing professionals to verify coverage details before proceeding with the test.
Reimbursement rates for D0411 vary significantly by state, payor, and provider network. The national average negotiated rate is $64. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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