Negotiated reimbursement rates for D0415 across 26 states, sourced from CMS Transparency in Coverage data. 173 rate records.
D0415 refers to the Collection of Microbial Culture Specimen, a procedure in which a sample is obtained from a patient to test for microbial infections. This is clinically indicated when a dental professional suspects an infection that may impact treatment outcomes. Proper documentation should include the type of specimen collected, the clinical indications for the test, and any relevant patient history. The average reimbursement for this procedure is around $26, but this can vary significantly by payor and state. Some insurance plans may cover this service fully, while others may impose limitations or require prior authorization, making it essential for billing professionals to be aware of individual payor policies to ensure appropriate reimbursement.
Reimbursement rates for D0415 vary significantly by state, payor, and provider network. The national average negotiated rate is $26. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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