Negotiated reimbursement rates for D4323 across 45 states, sourced from CMS Transparency in Coverage data. 509 rate records.
D4323 involves the placement of an extracoronal splint on natural teeth. This procedure is typically indicated for cases where teeth are mobile due to periodontal issues or trauma. Proper documentation should include a thorough clinical examination, treatment rationale, and any relevant imaging. Billing notes should highlight the specific teeth involved and the necessity of the splinting procedure. Reimbursement rates for D4323 can differ based on the patient's insurance plan and geographical location, with an average reimbursement of approximately $242. Some payors may have specific guidelines that must be followed for coverage.
Reimbursement rates for D4323 vary significantly by state, payor, and provider network. The national average negotiated rate is $242. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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