Negotiated reimbursement rates for D1553 across 30 states, sourced from CMS Transparency in Coverage data. 203 rate records.
D1553 refers to the re-cementing or re-bonding of a bilateral mandibular space maintainer. This procedure is necessary when the existing appliance has loosened, which can lead to space loss if not addressed promptly. Clinical indications include the need to maintain the position of teeth in the mandibular arch following the loss of primary teeth. Documentation should include a description of the appliance's condition, the clinical rationale for re-cementation, and any relevant patient history. The average reimbursement for D1553 is approximately $33, though this can vary widely depending on the insurance provider and state regulations. Some payors may have specific criteria for coverage, which can influence reimbursement rates.
Reimbursement rates for D1553 vary significantly by state, payor, and provider network. The national average negotiated rate is $33. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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