Negotiated reimbursement rates for D2931 across 46 states, sourced from CMS Transparency in Coverage data. 505 rate records.
D2931 refers to the placement of a prefabricated stainless steel crown on a permanent tooth. This procedure is clinically indicated for permanent teeth that are severely decayed or have undergone trauma, necessitating a robust restoration. Documentation should include the clinical assessment of the tooth, the rationale for choosing a stainless steel crown, and any relevant radiographic evidence. Reimbursement for D2931 can vary widely among payors and states, with some insurance plans providing more favorable coverage for permanent restorations. The average reimbursement for this procedure is approximately $202, and dental billing professionals should confirm specific plan details to ensure accurate billing and maximize reimbursement.
Reimbursement rates for D2931 vary significantly by state, payor, and provider network. The national average negotiated rate is $202. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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