Negotiated reimbursement rates for D5670 across 47 states, sourced from CMS Transparency in Coverage data. 604 rate records.
D5670 involves the replacement of teeth and acrylic on a metal framework of a partial denture. This procedure is clinically indicated when the existing teeth on the framework are worn, damaged, or when the patient has lost additional teeth that necessitate an update to the denture. Proper documentation should include a clinical rationale for the replacement, photographs if applicable, and a description of the existing denture's condition. Reimbursement for D5670 can vary widely among payors and states, with some plans providing better coverage than others. The average reimbursement for this procedure is approximately $388, but it is crucial to verify individual insurance policies for specific coverage details.
Reimbursement rates for D5670 vary significantly by state, payor, and provider network. The national average negotiated rate is $388. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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