Negotiated reimbursement rates for D2962 across 48 states, sourced from CMS Transparency in Coverage data. 773 rate records.
D2962 refers to a labial veneer made of porcelain, which is a thin shell that is custom-made to cover the front surface of a tooth. This procedure is often indicated for patients seeking to improve the aesthetics of their smile, particularly in cases of discoloration, chips, or gaps between teeth. Proper documentation for this procedure should include clinical photographs, a treatment plan, and any diagnostic records that support the need for the veneer. Reimbursement for this code can vary significantly by payor and state, with average costs around $800. Some insurance plans may cover a portion of the cost if deemed medically necessary, while others may classify it purely as a cosmetic procedure and deny coverage altogether.
Reimbursement rates for D2962 vary significantly by state, payor, and provider network. The national average negotiated rate is $800. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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