Negotiated reimbursement rates for D3222 across 41 states, sourced from CMS Transparency in Coverage data. 381 rate records.
Partial pulpotomy for apexogenesis is a vital pulp therapy procedure performed on permanent teeth with immature roots. This procedure is indicated when there is a need to preserve the vitality of the pulp while allowing for continued root development. Documentation should include clinical findings, radiographic images, and a description of the pulp tissue removed. Billing for this procedure can vary by payor, with some insurance plans providing coverage for vital pulp therapies while others may not. The average reimbursement for partial pulpotomy is approximately $135, but it is important for dental billing professionals to check with individual payors for specific coverage policies and reimbursement rates, as these can differ significantly by state.
Reimbursement rates for D3222 vary significantly by state, payor, and provider network. The national average negotiated rate is $135. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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