Negotiated reimbursement rates for D4283 across 48 states, sourced from CMS Transparency in Coverage data. 583 rate records.
D4283 pertains to autogenous connective tissue grafts for each additional tooth. This procedure is often indicated for patients with significant gingival recession or those requiring tissue augmentation for aesthetic or functional reasons. Documentation should include clinical notes detailing the rationale for the graft, as well as any relevant imaging. The average reimbursement for D4283 is approximately $289, but this can vary based on the patient's insurance plan and state regulations. Some payors may have specific criteria that must be met for coverage, so it is advisable to verify benefits prior to treatment to ensure proper billing and minimize patient out-of-pocket expenses.
Reimbursement rates for D4283 vary significantly by state, payor, and provider network. The national average negotiated rate is $289. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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