Negotiated reimbursement rates for D5612 across 46 states, sourced from CMS Transparency in Coverage data. 332 rate records.
D5612 is the code for repairing a resin partial denture base for the lower arch. This procedure is clinically indicated when a lower resin partial denture is broken or damaged, affecting its usability. Documentation should include a detailed account of the damage, patient history, and any relevant clinical observations. The average reimbursement for this procedure is approximately $131, but reimbursement rates can vary significantly by payor and state. It is essential to check the patient's insurance coverage for any limitations or requirements before proceeding with the repair to ensure proper billing and reimbursement.
Reimbursement rates for D5612 vary significantly by state, payor, and provider network. The national average negotiated rate is $131. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
43+ more states available with Pro ↓