Negotiated reimbursement rates for D0801 across 19 states, sourced from CMS Transparency in Coverage data. 100 rate records.
D0801 refers to the 3D Surface Scan performed prior to orthodontic treatment. This advanced imaging technique captures detailed three-dimensional images of the patient's dental and facial structures, aiding in treatment planning and assessment. Clinical indications for this procedure include the need for precise measurements and evaluations of dental alignment and occlusion. Documentation should include the reason for the scan and any relevant clinical findings. Average reimbursement for D0801 is approximately $97, but it can vary by payor and state, with some insurance plans covering it under orthodontic benefits while others may not. It is advisable to confirm coverage and obtain pre-authorization when necessary.
Reimbursement rates for D0801 vary significantly by state, payor, and provider network. The national average negotiated rate is $97. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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