Negotiated reimbursement rates for D0502 across 3 states, sourced from CMS Transparency in Coverage data. 11 rate records.
D0502 is designated for other oral pathology procedures that do not fall under more specific codes. This can include a variety of diagnostic and therapeutic interventions related to oral diseases. Clinical indications for this procedure might include biopsies, excisions, or other treatments for oral lesions. Documentation should include a detailed description of the procedure performed, the clinical rationale, and any relevant patient history. Reimbursement for D0502 can vary widely based on the payor, with some plans offering comprehensive coverage while others may impose restrictions. The average reimbursement for this code is approximately $98. Dental billing professionals should ensure they are familiar with the specific requirements of each payor and state regulations to optimize reimbursement.
Reimbursement rates for D0502 vary significantly by state, payor, and provider network. The national average negotiated rate is $98. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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