Amalgam Filling — 4+ Surfaces, Primary/Permanent (D2161) — National Rates

About D2161 — Amalgam Filling — 4+ Surfaces, Primary/Permanent

The CDT code D2161 covers the amalgam filling procedure for a primary or permanent tooth that has four or more surfaces affected by caries. This procedure is indicated for teeth with significant decay that necessitates a larger restoration to maintain tooth structure and function. Comprehensive documentation is crucial, including clinical notes, radiographs, and any previous treatments. Average reimbursement for D2161 is approximately $169, but this can fluctuate based on the insurance plan and state policies. Some payors may impose restrictions or different reimbursement rates based on the complexity of the case or the specific tooth being treated.

Reimbursement rates for D2161 vary significantly by state, payor, and provider network. The national average negotiated rate is $169. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.