Negotiated reimbursement rates for D1551 across 27 states, sourced from CMS Transparency in Coverage data. 168 rate records.
D1551 is the code for re-cementing or re-bonding a unilateral space maintainer. This procedure is often necessary when a space maintainer has become loose or dislodged, which can occur due to wear, decay, or trauma. Clinical indications for this procedure include the need to restore the functionality of the space maintainer to ensure continued space preservation. Proper documentation should include the reason for re-cementation, any clinical findings, and the condition of the existing appliance. Reimbursement for D1551 typically averages around $45, but this can vary by insurance provider and state regulations. Some payors may have specific guidelines regarding the frequency of re-cementation, which can affect coverage.
Reimbursement rates for D1551 vary significantly by state, payor, and provider network. The national average negotiated rate is $45. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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