Negotiated reimbursement rates for D5760 across 49 states, sourced from CMS Transparency in Coverage data. 626 rate records.
D5760 refers to the relining of an upper partial denture using laboratory techniques. This procedure is indicated when the upper partial denture no longer fits properly, often due to changes in the supporting oral tissues. Clinical indications include patient discomfort, functional challenges, and aesthetic concerns. Documentation should detail the patient's complaints, clinical examination results, and specifics of the laboratory work performed. Reimbursement for D5760 varies by payor and state, with an average reimbursement rate of approximately $279. As with other relining codes, it is essential to verify coverage details with individual insurance plans, as some may impose restrictions on the frequency of relining procedures.
Reimbursement rates for D5760 vary significantly by state, payor, and provider network. The national average negotiated rate is $279. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
46+ more states available with Pro ↓