Negotiated reimbursement rates for D4277 across 48 states, sourced from CMS Transparency in Coverage data. 753 rate records.
D4277 refers to the procedure of a free soft tissue graft for the first tooth. This surgical intervention is commonly indicated for patients requiring periodontal treatment, particularly in cases of gingival recession or to enhance the width of keratinized tissue. Documentation for billing should include detailed clinical notes, photographs, and a treatment plan outlining the necessity of the graft. Reimbursement for this procedure can vary significantly by payor and state, with average costs around $713. Some insurance plans may cover a portion of the grafting procedure, while others may classify it as cosmetic, leading to potential denials. It is essential to verify coverage with the specific payor prior to the procedure to avoid unexpected patient costs.
Reimbursement rates for D4277 vary significantly by state, payor, and provider network. The national average negotiated rate is $713. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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