Negotiated reimbursement rates for D5224 across 48 states, sourced from CMS Transparency in Coverage data. 768 rate records.
D5224 describes an immediate lower partial denture with a cast metal base. This procedure is indicated for patients requiring immediate tooth replacement after extractions. Proper documentation should include clinical notes, extraction dates, and any imaging. Billing considerations include potential differences in reimbursement based on the payor's policies and state regulations. The average reimbursement for this procedure is not typically specified, leading to variability in coverage and payment.
Reimbursement rates for D5224 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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