Negotiated reimbursement rates for D4249 across 49 states, sourced from CMS Transparency in Coverage data. 648 rate records.
D4249 is the CDT code for Clinical Crown Lengthening — Hard Tissue, a procedure that involves the surgical removal of gum tissue and/or bone to expose more of the tooth structure. This is often indicated for teeth that require restoration but have insufficient crown length due to excessive gum tissue or bone covering. Proper documentation must include pre-operative assessments, the rationale for the procedure, and post-operative care instructions. Reimbursement for D4249 varies by payor, with some plans offering higher coverage for surgical procedures, while others may impose limitations or exclusions. The average reimbursement for this procedure is approximately $607, but dental billing professionals should confirm coverage details with each insurance provider to avoid claim denials.
Reimbursement rates for D4249 vary significantly by state, payor, and provider network. The national average negotiated rate is $607. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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