Negotiated reimbursement rates for D4346 across 39 states, sourced from CMS Transparency in Coverage data. 272 rate records.
D4346 is the code for scaling in the presence of generalized moderate or severe gingivitis. This procedure is indicated for patients exhibiting signs of gingival inflammation without significant attachment loss. Documentation should include clinical observations, gingival measurements, and a treatment plan. When billing, it is important to note the generalized nature of the gingivitis and any previous treatments. Reimbursement for D4346 varies among payors, with some insurers covering it more readily than others. The average reimbursement for this procedure is approximately $74, but it is advisable to check specific payor guidelines for coverage details.
Reimbursement rates for D4346 vary significantly by state, payor, and provider network. The national average negotiated rate is $74. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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