Negotiated reimbursement rates for D4286 across 49 states, sourced from CMS Transparency in Coverage data. 485 rate records.
D4286 refers to combined connective tissue grafts for each additional tooth. This procedure may be indicated when both autogenous and non-autogenous grafting techniques are utilized to achieve optimal results in periodontal therapy. Proper documentation is crucial and should include detailed clinical notes, photographs, and a comprehensive treatment plan. The average reimbursement for D4286 is approximately $328, but as with other grafting procedures, reimbursement can vary widely based on the patient's insurance plan and state regulations. It is important to verify coverage details with payors to avoid potential denials and ensure that the patient is informed of any financial responsibilities.
Reimbursement rates for D4286 vary significantly by state, payor, and provider network. The national average negotiated rate is $328. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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