Negotiated reimbursement rates for D0476 across 3 states, sourced from CMS Transparency in Coverage data. 10 rate records.
D0476 refers to a special stain procedure that is not part of routine staining protocols in dental pathology. This procedure is typically indicated when a specific staining technique is required to highlight certain cellular components or pathological features that standard stains do not adequately reveal. Documentation for billing should include the rationale for the special stain, details of the specimen, and any relevant clinical findings. Reimbursement for D0476 can vary significantly by payor and state, with some insurance plans covering the procedure fully while others may apply limitations or require prior authorization. The average reimbursement for this code is around $59, but dental billing professionals should verify coverage specifics with individual payors to ensure accurate claims submission and payment processing.
Reimbursement rates for D0476 vary significantly by state, payor, and provider network. The national average negotiated rate is $59. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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