Negotiated reimbursement rates for D3920 across 47 states, sourced from CMS Transparency in Coverage data. 471 rate records.
Hemisection (Not Root Canal/Restoration) (avg $290) is a surgical procedure that involves the removal of a portion of a multi-rooted tooth, typically due to severe periodontal disease or fracture. Clinical indications include significant bone loss or infection that compromises the tooth's integrity. Documentation must include a thorough clinical examination, radiographic evidence, and a detailed account of the surgical procedure. Reimbursement for hemisection can vary significantly by payor and state, with some insurers covering it as a surgical procedure while others may classify it differently, impacting the reimbursement amount.
Reimbursement rates for D3920 vary significantly by state, payor, and provider network. The national average negotiated rate is $290. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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