Negotiated reimbursement rates for D3425 across 49 states, sourced from CMS Transparency in Coverage data. 693 rate records.
D3425 represents an apicoectomy performed on a molar, focusing on the first root. This procedure is clinically indicated for cases of apical periodontitis or other complications that necessitate surgical intervention after root canal treatment. Documentation should include diagnostic imaging, treatment rationale, and post-operative care instructions. Average reimbursement for this procedure is approximately $701, but this can vary widely among different insurance providers and geographic locations. Some payors may have specific guidelines that could affect reimbursement rates, including the necessity for pre-authorization or detailed documentation of the treatment history.
Reimbursement rates for D3425 vary significantly by state, payor, and provider network. The national average negotiated rate is $701. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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