Negotiated reimbursement rates for D4268 across 15 states, sourced from CMS Transparency in Coverage data. 85 rate records.
D4268 is the code for Surgical Revision of a Failed Previous Graft Site. This procedure is indicated when a previously placed graft has not succeeded, necessitating surgical intervention to correct the issue. Clinical documentation should include the reasons for the graft failure, the surgical techniques employed, and any follow-up care planned. Reimbursement for this procedure can vary significantly by payor and state, with some insurers requiring extensive documentation or prior authorization. The average reimbursement for D4268 is around $409, but it is important for dental billing professionals to verify coverage details with each payor to ensure proper claims processing.
Reimbursement rates for D4268 vary significantly by state, payor, and provider network. The national average negotiated rate is $409. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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