Negotiated reimbursement rates for D3426 across 47 states, sourced from CMS Transparency in Coverage data. 463 rate records.
The code D3426 is used for an apicoectomy procedure on each additional root beyond the first root in a tooth. This procedure is indicated when multiple roots are affected by infection or other complications requiring surgical intervention. Proper documentation is crucial and should include pre-operative imaging, a comprehensive treatment plan, and post-operative care notes. The average reimbursement for this procedure is around $238, but it can vary by payor and state. Some insurance companies may have specific policies regarding the reimbursement of additional roots, which could impact the overall payment for the procedure.
Reimbursement rates for D3426 vary significantly by state, payor, and provider network. The national average negotiated rate is $238. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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