Negotiated reimbursement rates for D1321 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
Counseling for Substance Abuse is a critical service that addresses the impact of substance use on oral health and overall well-being. This counseling is indicated for patients who may be struggling with substance abuse issues that affect their dental care and hygiene. Proper documentation should include the patient's substance use history, the counseling provided, and any referrals made for additional support. Reimbursement for this service can vary significantly by payor and state, with some insurance plans covering it fully while others may not recognize it as a billable service. The average reimbursement for this procedure is around $40.
Reimbursement rates for D1321 vary significantly by state, payor, and provider network. The national average negotiated rate is $40. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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