Negotiated reimbursement rates for D2610 across 47 states, sourced from CMS Transparency in Coverage data. 568 rate records.
D2610 is the CDT code for a porcelain or ceramic inlay that covers one surface of a tooth. This procedure is indicated for teeth with minimal to moderate decay where a filling would not provide adequate support. Documentation should include clinical notes detailing the extent of decay, radiographic evidence, and the rationale for choosing an inlay over other restorative options. Reimbursement for D2610 varies by payor, with an average reimbursement of approximately $541. Some insurance plans may have specific criteria for coverage, and reimbursement rates can differ based on geographical location and the provider's network status. It's crucial to check the patient's insurance policy for any limitations, such as waiting periods or frequency limitations, to ensure proper billing and reimbursement.
Reimbursement rates for D2610 vary significantly by state, payor, and provider network. The national average negotiated rate is $541. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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