Negotiated reimbursement rates for D4263 across 44 states, sourced from CMS Transparency in Coverage data. 532 rate records.
D4263 is the code for Bone Replacement Graft — First Site (Per Quad), which involves the placement of bone graft material to promote bone regeneration in areas affected by periodontal disease or tooth loss. This procedure is indicated when there is a need to restore bone volume for future dental implants or to support existing teeth. Documentation must include the clinical rationale for the grafting procedure, details of the graft material used, and the surgical technique employed. Reimbursement for D4263 can vary significantly depending on the payor and state, with some insurance companies covering the procedure more favorably than others. The average reimbursement for this procedure is around $293, and dental billing professionals should verify coverage specifics with each insurance provider to ensure accurate claims processing.
Reimbursement rates for D4263 vary significantly by state, payor, and provider network. The national average negotiated rate is $293. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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