Negotiated reimbursement rates for D2663 across 46 states, sourced from CMS Transparency in Coverage data. 681 rate records.
D2663 is the CDT code for an onlay procedure using composite or resin material that covers three surfaces of a tooth. This procedure is typically indicated for teeth with significant structural loss due to decay or trauma, where a filling would not provide adequate support. Documentation should include detailed clinical findings, including the tooth number, surfaces treated, and the reason for selecting an onlay. Reimbursement for D2663 varies by payor, with some insurance companies providing higher reimbursement rates for composite materials, particularly in aesthetic zones. It is advisable to check the specific guidelines of each payor and consider obtaining pre-authorization to avoid claim denials.
Reimbursement rates for D2663 vary significantly by state, payor, and provider network. The national average negotiated rate is $624. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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