Negotiated reimbursement rates for D3220 across 44 states, sourced from CMS Transparency in Coverage data. 395 rate records.
D3220 refers to a therapeutic pulpotomy, a procedure performed to remove the coronal portion of the dental pulp in a tooth that has been affected by caries or trauma, while preserving the vitality of the remaining pulp tissue. This procedure is clinically indicated in cases where the pulp is inflamed but not necrotic, typically in primary teeth or young permanent teeth. Documentation for D3220 should include the extent of pulp involvement, the materials used for the procedure, and the patient's postoperative condition. Reimbursement for D3220 can vary significantly among payors and states, with an average reimbursement of around $123. Dental practices should ensure they provide detailed documentation to support the necessity of the pulpotomy, as this can influence reimbursement outcomes.
Reimbursement rates for D3220 vary significantly by state, payor, and provider network. The national average negotiated rate is $123. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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