Negotiated reimbursement rates for D2961 across 47 states, sourced from CMS Transparency in Coverage data. 537 rate records.
D2961 is the code for labial veneers made of resin that are fabricated in a dental laboratory. This procedure is typically indicated for patients seeking significant aesthetic enhancement of their anterior teeth. Clinical documentation should include the treatment plan, the materials used, and any pre-treatment photographs or imaging. Reimbursement for D2961 can vary widely among payors and states, with some plans providing coverage for lab-fabricated veneers under restorative services, while others may classify them as purely cosmetic. The average reimbursement for this procedure is approximately $606, but it is essential for dental billing professionals to confirm the specifics of coverage with each payor, as reimbursement rates can differ based on the patient's insurance plan and location.
Reimbursement rates for D2961 vary significantly by state, payor, and provider network. The national average negotiated rate is $606. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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