Negotiated reimbursement rates for D5611 across 41 states, sourced from CMS Transparency in Coverage data. 444 rate records.
D5611 refers to the repair of a resin partial denture base for the upper arch. This procedure is indicated when the upper resin partial denture has a fracture or break, which can compromise its fit and function. Proper documentation should include a description of the damage, the patient's denture history, and any necessary clinical notes. The average reimbursement for this procedure is around $118, but it can differ based on the patient's insurance plan and geographic location. Some payors may require pre-authorization or have specific guidelines for coverage, making it important to confirm benefits prior to treatment.
Reimbursement rates for D5611 vary significantly by state, payor, and provider network. The national average negotiated rate is $118. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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