Negotiated reimbursement rates for D0417 across 21 states, sourced from CMS Transparency in Coverage data. 121 rate records.
D0417 refers to the collection of saliva for lab analysis, a procedure that involves obtaining a saliva sample from the patient for diagnostic purposes. This may be indicated in cases where a clinician suspects the presence of oral diseases or conditions that can be assessed through saliva analysis, such as caries risk or periodontal disease. Proper documentation should include the reason for the saliva collection, the patient's medical history, and any relevant clinical findings. Billing for this procedure may vary by payor and state, with some insurance plans covering it under preventive services, while others may classify it as diagnostic, affecting reimbursement rates. The average reimbursement for this code is around $31.
Reimbursement rates for D0417 vary significantly by state, payor, and provider network. The national average negotiated rate is $31. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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