Negotiated reimbursement rates for D0479 across 3 states, sourced from CMS Transparency in Coverage data. 11 rate records.
D0479 is designated for pathology consultations involving external slides. This procedure is indicated when a dentist submits slides prepared by another laboratory for expert evaluation by a pathologist. Proper documentation should include the clinical indication for the consultation, details about the external slides, and any pertinent patient information. Reimbursement for D0479 can differ significantly among payors and states, with an average reimbursement of about $106. Dental billing professionals should be aware that some payors may have specific requirements for documentation or may limit coverage based on the circumstances of the consultation.
Reimbursement rates for D0479 vary significantly by state, payor, and provider network. The national average negotiated rate is $106. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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