Negotiated reimbursement rates for D4276 across 48 states, sourced from CMS Transparency in Coverage data. 739 rate records.
The D4276 code refers to a Combined Connective Tissue and Pedicle Graft, a technique that utilizes both pedicle and connective tissue grafts to address severe gingival recession. This procedure is indicated when both techniques are necessary to achieve optimal coverage and esthetics. Documentation should include detailed clinical notes, photographs, and measurements of the recession. Insurance reimbursement for this procedure can vary widely based on the payor's policies and the state regulations, with some plans offering comprehensive coverage while others may impose restrictions. The average reimbursement for this procedure is approximately $465.
Reimbursement rates for D4276 vary significantly by state, payor, and provider network. The national average negotiated rate is $465. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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