Negotiated reimbursement rates for D3353 across 44 states, sourced from CMS Transparency in Coverage data. 485 rate records.
D3353 refers to apexification or recalcification procedures performed during the final visit. This treatment is typically indicated for non-vital teeth with incomplete root development, where the goal is to encourage the formation of a calcified barrier at the apex of the root. Documentation for billing should include detailed notes on the clinical findings, treatment provided, and any radiographic evidence supporting the procedure. Reimbursement for D3353 can vary significantly by payor and state, with average payments around $420. Some insurance plans may have specific criteria for coverage, including the necessity of prior treatments or the use of specific materials, which can impact reimbursement rates.
Reimbursement rates for D3353 vary significantly by state, payor, and provider network. The national average negotiated rate is $420. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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