Negotiated reimbursement rates for D0601 across 16 states, sourced from CMS Transparency in Coverage data. 83 rate records.
D0601 is a caries risk assessment code specifically for patients identified as low risk for caries development. This assessment involves evaluating factors such as oral hygiene practices, dietary habits, and previous caries history. Clinical indications for this procedure include preventive care planning and patient education. Documentation should include the assessment findings, patient history, and any recommendations made. Reimbursement for D0601 averages about $27, but may differ among payors. Some may cover the procedure fully, while others may have specific criteria that must be met for reimbursement.
Reimbursement rates for D0601 vary significantly by state, payor, and provider network. The national average negotiated rate is $27. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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