Negotiated reimbursement rates for D4920 across 32 states, sourced from CMS Transparency in Coverage data. 252 rate records.
Unscheduled Dressing Change is a procedure that involves changing a periodontal dressing that may have become loose or dislodged. This is clinically indicated when a patient requires a dressing change outside of the scheduled follow-up visits. Documentation for this procedure should detail the reason for the unscheduled change, the condition of the dressing, and any relevant patient symptoms. Average reimbursement is around $68, but payor policies can vary, with some insurers requiring specific documentation or limiting the frequency of coverage for dressing changes.
Reimbursement rates for D4920 vary significantly by state, payor, and provider network. The national average negotiated rate is $68. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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