Negotiated reimbursement rates for D0803 across 5 states, sourced from CMS Transparency in Coverage data. 38 rate records.
D0803 involves the 3D Surface Scan performed prior to restorative procedures. This imaging technique is beneficial for creating accurate treatment plans and understanding the patient's dental anatomy. Clinical indications for this scan include the need for detailed visualization of tooth structure and planning for restorations. Documentation should include the clinical reasons for the scan and any findings that necessitate its use. The average reimbursement for D0803 is approximately $80, but, similar to other imaging procedures, reimbursement can vary widely by payor and state. Some insurance plans may cover this service under restorative benefits, while others may not, making it essential to verify coverage beforehand.
Reimbursement rates for D0803 vary significantly by state, payor, and provider network. The national average negotiated rate is $80. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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