Negotiated reimbursement rates for D5740 across 46 states, sourced from CMS Transparency in Coverage data. 439 rate records.
D5740 refers to the procedure of relining an upper partial denture chair-side. This procedure is indicated when the fit of the denture has become loose due to changes in the oral tissues, which can occur over time. Clinical indications for this procedure include discomfort for the patient, difficulty in chewing, and aesthetic concerns. Proper documentation should include the patient's complaints, clinical findings, and the materials used during the procedure. Billing for this code may vary by payor, with some insurance plans covering a portion of the cost while others may not. Typically, reimbursement rates can differ significantly by state, with an average reimbursement of around $177.
Reimbursement rates for D5740 vary significantly by state, payor, and provider network. The national average negotiated rate is $177. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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