Negotiated reimbursement rates for D2792 across 47 states, sourced from CMS Transparency in Coverage data. 696 rate records.
D2792 is the code for a full cast noble metal crown, which is commonly used in restorative dentistry for posterior teeth that require a robust and durable solution. This crown type is indicated for teeth that have experienced significant structural loss due to decay or trauma. Documentation for this procedure should include clinical notes, radiographs, and a clear explanation of the treatment rationale. The average reimbursement for D2792 is around $714, but this amount can vary by payor and state. Different insurance plans may have specific coverage policies regarding noble metal crowns, including potential limitations or requirements for prior authorization. Dental billing professionals should be well-versed in these variations and ensure that all claims are submitted with the appropriate documentation to minimize the risk of denials and ensure timely reimbursement.
Reimbursement rates for D2792 vary significantly by state, payor, and provider network. The national average negotiated rate is $714. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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