Negotiated reimbursement rates for D2991 across 25 states, sourced from CMS Transparency in Coverage data. 80 rate records.
D2991 refers to the mineral infiltration of an incipient lesion, a minimally invasive procedure aimed at halting the progression of early carious lesions. Clinically, this procedure is indicated for patients with non-cavitated carious lesions, where the enamel is compromised but not yet penetrated to the dentin. Documentation for billing should include clinical notes detailing the condition of the tooth, the rationale for choosing this treatment, and any pre- and post-treatment assessments. Reimbursement for D2991 can vary significantly by payor and state, with some insurance plans covering it under preventive services while others may classify it as restorative. The average reimbursement for this code is around $29, but dental practices should verify coverage specifics with individual payors to ensure proper billing and reimbursement.
Reimbursement rates for D2991 vary significantly by state, payor, and provider network. The national average negotiated rate is $29. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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