Negotiated reimbursement rates for D2981 across 43 states, sourced from CMS Transparency in Coverage data. 368 rate records.
D2981 refers to the procedure for inlay repair, which is performed when an existing inlay has become damaged or compromised. Clinical indications for this procedure include fractures, wear, or debonding of the inlay. Documentation for billing should include a detailed report of the condition of the inlay, the reason for the repair, and any diagnostic imaging that supports the need for the procedure. Reimbursement for D2981 can vary significantly by payor and state, with some insurance plans covering it as part of restorative services while others may consider it a cosmetic procedure, leading to potential denials or reduced payments. Average reimbursement is around $168, but dental billing professionals should verify specific payor policies to ensure accurate claims submission.
Reimbursement rates for D2981 vary significantly by state, payor, and provider network. The national average negotiated rate is $168. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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