Negotiated reimbursement rates for D5660 across 42 states, sourced from CMS Transparency in Coverage data. 411 rate records.
D5660 refers to the procedure of adding a clasp to an existing partial denture. This is typically indicated when a patient requires additional retention for their partial denture due to changes in their oral anatomy or loss of remaining teeth. Documentation for this procedure should include a detailed clinical note explaining the need for the clasp addition, any relevant radiographs, and a description of the existing denture. Reimbursement for D5660 can vary significantly by payor and state, with some insurance plans covering the procedure fully while others may have limitations or require prior authorization. The average reimbursement for this code is around $162, but it is essential to check specific plan details for accurate billing.
Reimbursement rates for D5660 vary significantly by state, payor, and provider network. The national average negotiated rate is $162. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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