Negotiated reimbursement rates for D0414 across 6 states, sourced from CMS Transparency in Coverage data. 25 rate records.
The CDT code D0414 is used for the Lab Processing of Microbial Specimen, which involves analyzing a specimen to identify microbial infections. This procedure is clinically indicated when a dental professional suspects an infection that may require antibiotic treatment or further intervention. Documentation should include the type of specimen collected, the clinical rationale for the test, and the results from the laboratory. The average reimbursement for this service is approximately $45, but it can vary based on the specific insurance plan and state regulations. Some payors may have specific requirements for coverage, including the need for a referral or prior authorization, so billing professionals should verify these details to ensure proper reimbursement.
Reimbursement rates for D0414 vary significantly by state, payor, and provider network. The national average negotiated rate is $45. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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