Negotiated reimbursement rates for D2620 across 46 states, sourced from CMS Transparency in Coverage data. 678 rate records.
D2620 is the code for a porcelain or ceramic inlay that covers two surfaces of a tooth. This procedure is indicated when there is moderate decay or structural loss that necessitates a more durable restoration than a filling. Proper documentation should include clinical notes, radiographs, and a treatment plan that explains the need for an inlay. Average reimbursement for D2620 is around $588, but this can vary widely depending on the payor and the state. Some insurance companies may have specific guidelines regarding the use of inlays, and reimbursement may be affected by the patient's coverage level and any applicable deductibles. It is advisable to verify benefits and obtain pre-authorization if required to minimize potential billing issues.
Reimbursement rates for D2620 vary significantly by state, payor, and provider network. The national average negotiated rate is $588. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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