Negotiated reimbursement rates for D0473 across 5 states, sourced from CMS Transparency in Coverage data. 29 rate records.
The CDT code D0473 is used for the accession of tissue that includes both gross and microscopic examinations. This procedure is critical for diagnosing various conditions, including cancers and other pathologies. Clinical indications typically involve tissue samples obtained from biopsies or surgical procedures. Documentation must include a detailed description of the tissue, the reason for the examination, and findings from both the gross and microscopic evaluations. Reimbursement for this service averages around $121, but it can vary widely by payor and state. Some insurance plans may have specific coding requirements or may only reimburse for certain types of examinations, affecting overall reimbursement.
Reimbursement rates for D0473 vary significantly by state, payor, and provider network. The national average negotiated rate is $121. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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