Negotiated reimbursement rates for D1999 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D1999 is a code for unspecified preventive procedures, billed by report. This code is used when a preventive service does not fall under a specific CDT code but is still necessary for patient care. Clinical indications can vary widely, and documentation must be thorough, including a detailed description of the procedure performed, the clinical rationale, and any supporting evidence. Average reimbursement for D1999 is about $61, but it is important to note that reimbursement can vary significantly by payor and state. Some insurance companies may require additional documentation or justification for the use of this code, which can impact the approval process.
Reimbursement rates for D1999 vary significantly by state, payor, and provider network. The national average negotiated rate is $61. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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