Negotiated reimbursement rates for D4265 across 47 states, sourced from CMS Transparency in Coverage data. 710 rate records.
D4265 is used for the application of Biologic Material for Tissue Regeneration. This procedure is clinically indicated when there is a need to promote tissue healing and regeneration, particularly in periodontal therapy. Documentation should include details about the materials used, the sites treated, and the expected outcomes. Reimbursement for this procedure can vary significantly by payor, with some plans offering comprehensive coverage while others may impose restrictions or require additional documentation. The average reimbursement for D4265 is approximately $292, but dental billing professionals should verify coverage specifics with each payor to ensure proper reimbursement.
Reimbursement rates for D4265 vary significantly by state, payor, and provider network. The national average negotiated rate is $292. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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