Negotiated reimbursement rates for D1556 across 35 states, sourced from CMS Transparency in Coverage data. 139 rate records.
D1556 is the code for the removal of a unilateral fixed space maintainer. This procedure is typically performed when the space maintainer is no longer needed, often due to the eruption of permanent teeth or other dental changes. Clinical indications for removal include the successful eruption of the permanent successor or the presence of decay affecting the appliance. Documentation should include the reason for removal, any clinical findings, and the condition of the surrounding teeth. Average reimbursement for D1556 is around $47, but this can vary by payor and state. Some insurance plans may cover this procedure under different categories, affecting the reimbursement process.
Reimbursement rates for D1556 vary significantly by state, payor, and provider network. The national average negotiated rate is $47. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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