Negotiated reimbursement rates for D4266 across 47 states, sourced from CMS Transparency in Coverage data. 690 rate records.
D4266 pertains to Guided Tissue Regeneration using a Resorbable Barrier. This technique is employed to facilitate the regeneration of periodontal tissues in areas affected by disease. Clinical indications include the presence of periodontal defects where regeneration is desired. Proper documentation should include the type of barrier used, the sites involved, and any pre-operative assessments. Reimbursement for this procedure can differ among payors and states, with some insurers covering it more favorably than others. The average reimbursement for D4266 is around $334, but it is crucial to confirm the specifics with each payor to ensure accurate billing.
Reimbursement rates for D4266 vary significantly by state, payor, and provider network. The national average negotiated rate is $334. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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